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Reviews and monitors daily inpatient stays at the assigned hospital per iCare's inpatient work processes and participates with facility discharge planners, Care Coordinators/Care Managers and the behavioral health personnel in coordinating the member's discharge needs. Initiates Readmission Risk Assessment at time of admission, with completion and Risk determination before discharge. a. For over 6
Posted 1 day ago
This position is responsible for designing, developing, implementing, and verifying solutions for i Care's claims process, care management, finance and analytics areas. Understands scope, requirements, and business cases in developing solutions estimates, and design overviews by using strong interviewing and communications skills. Develops technical designs, detailed interaction diagrams, componen
Posted 1 day ago
This professional position works with providers of health care, behavioral health and social services to meet identified complex and episodic medical, psychiatric and social needs of Independent Care members, and to promote the efficient and cost effective delivery of health and social services. Reviews and monitors daily inpatient stays per i Care's inpatient work processes and participates with
Posted 1 day ago
This professional position is responsible for overseeing the disease management of members with chronic conditions (i.e. diabetes, COPD, or CHF). The RN Chronic Care Case Manager works with providers of health care and social services to meet identified complex and episodic medical and social needs of Independent Care members and to promote the efficient and cost effective delivery of health and s
Posted 1 day ago
Reviews prior authorization (PA) requests for medical necessity and recommendations for home health services, durable medical equipment and therapies per iCare's PA work processes. Monitors and directs members to appropriate specialty services and alternative treatment settings. Reviews and monitors daily inpatient stays per iCare's inpatient work processes and participates with the facility disch
Posted 1 day ago
This professional position works with providers of health care, behavioral health and social services to meet identified complex and episodic medical, psychiatric and social needs of Independent Care members, and to promote the efficient and cost effective delivery of health and social services. Essential Duties and Responsibilities Assists Care Coordinators/Care Managers in the development and ov
Posted 1 day ago
This position provides case management and support to older adults in the Milwaukee County community, assuring quality services are provided which are cost effective and monitoring the heath and safety of members. Complete the nursing portion of the comprehensive assessment and provide input to the members care accordingly. Conduct home visits and community visits to assure appropriate care and ac
Posted 1 day ago
The Receptionist represents the company as the first face that visitors and guests will greet when they arrive at iCare. Under the direction of the Administrative Office Manager, the Receptionist greets visitors or others having business transactions with the company, and internal staff, in a warm and professional manner. The receptionist notifies appropriate person when visitors arrive, and opera
Posted 1 day ago
This professional position is responsible for assisting with safely and effectively transitioning iCare members from acute inpatient care to home in a cost efficient manner. The Readmission Prevention CM is accountable for creating and ensuring that members adhere to an evidence based plan of care during the 30 day period post hospital discharge. Completes a hospital follow up either telephonicall
Posted 1 day ago
Manage the database for tracking hospital admissions and discharges, including collecting and entering data in the database daily. Ensure data integrity for the lifespan of the data. Analyze data and compile reports on trends of hospital discharges and readmissions for quality improvement. Provide reports to analyze trends and research the elements causing the trends. Identify areas for process im
Posted 1 day ago
This professional position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all benefits authorized meet medical necessity and other Medicare and/or Medicaid criteria if applicable to promote cost effective delivery of health care services. Works with the Chief Medical Officer (CMO)/Medical Director to review PA requests, and ensures appropriate informatio
Posted 1 day ago
This position will also serve as a clinical consultant to the i Care staff regarding Medicare and Medicaid guidelines, benefits and coverage issues relating to the prior authorization process. Supervise and direct the work of the all staff in the Prior Authorization Department. This includes hiring, training, handling employment and performance related matters, performance evaluations, coaching an
Posted 1 day ago
This position coordinates marketing communications and marketing campaign development. Support other team members in the aim of effectively encouraging prospective members to engage and ultimately enroll in an i Care plan. Ensures that communication strategies present iCare in a professional fashion, support growth, and deliver an optimal customer experience. 1. Responsible for print coordination
Posted 1 day ago
This professional position provides mental health and/or substance abuse consultative services to Care Coordination for SSI members. The Intervention Specialist delivers short term, high intensity Wisconsin Interdisciplinary Care Team (WICT) case management with the goal of providing member education and eliminating or improving non adherence to treatment. Work collaboratively within the Care Coor
Posted 1 day ago
This professional position provides Care Management services through the Family Care Partnership (FCP) program including assessment, service plan development, ongoing care coordination, quality assurance and ongoing monitoring of services to Milwaukee County Adults with disabilities and the Frail Elderly. ESSENTIAL DUTIES AND RESPONSIBILITIES Conduct psychosocial assessments as part of the initial
Posted 1 day ago
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