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Respond to requests for technical support in person, via phone, or electronically Assist in implementation and support of the iCare network and computing infrastructure plan including desktop hardware, software and applications Perform PC administration, including profile set up, imaging, troubleshooting, hardware upgrades and decommissioning Assist with hardware and software purchasing including
Posted Today
Completes a hospital follow up either telephonically within 48 business hours or in home within 72 business hours of hospital discharge notification with emphasis on Explanation of iCare Readmission Prevention program Assisting with scheduling of follow up appointments (and transportation) within 7 14 days of discharge date Ensuring that discharge medications have been filled, durable medical equi
Posted Today
Conducts initial and annual assessments of members’ medical, behavioral health and social needs to develop a care plan for each individual. The Care Coordination assessment is typically telephonic but may be completed in the member’s home or other community setting. Coordinates and organizes information about members’ medical, behavioral health and social needs based on an assess
Posted Today
Participate in the hiring and training of new staff Supervise and evaluate the performance of employees assigned to their teams Convene staff meetings to share information Convene meetings for each IDT to provide case staffing Provide problem solving and coaching to staff to meet member needs Utilize established systems to monitor member records and documentation to ensure quality and contract com
Posted Today
Coordinate and implement market research studies, consumer preference tests and other assessments of marketplace preference for proposed and existing product designs. Research and analyze secondary information related to innovative new managed care products or consumer centered enhancements to existing product lines. Track consumer preferences through competitor analysis, market research, and mark
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1) Maintain accounts payables records, including editing, checking and preparing accounts payable entries. 2) Verifies invoices, compute discounts, allocate expenses to proper department budgets, prepare vouchers for payment, and remit invoices. 3) Complete and maintain all required invoicing paperwork, records, documents, etc. Maintains invoice payment records. 4) Correspond with vendors as neede
Posted 3 days ago
Understands scope, requirements, and business cases in developing solutions estimates, and design overviews by using strong interviewing and communications skills. Plan, implement and support the network and computing infrastructure plan including server network and desktop hardware, software and applications. Perform server administration and provisioning Perform technology needs analysis and mak
Posted 3 days ago
Develops the i Care’s provider network to best serve the needs of i Care enrollees. Negotiates and prepares agreements and contracts for providers to achieve financial and non financial goals according to iCare policy and limitations. Interacts with providers to reinforce iCare’s expectations of providers regarding services to iCare members and quality improvement expectations. Works i
Posted 3 days ago
Conduct psychosocial assessments as part of the initial comprehensive assessment and reassessment process Utilize the Resource Allocation Decision making methodology (RAD), help members identify the member’s preferred outcomes and potential strategies to address those outcomes, including through the identification of community resources, and cost effective services or equipment Coordinate an
Posted 3 days ago
Serve as lead business analyst for iCare’s Family Care Partnership program, responsible for complicated projects and project coordination, monitoring and reporting. Review, analyze and evaluate user needs business system capability to meet contractual requirements and FCP goals and objectives. Document user needs, work with FCP managers to set priorities. Define requirements, scope and objec
Posted 3 days ago
Supervise the performance of RN Care Managers. This includes monitoring both individual and team productivity in achieving performance objectives, reviewing member documentation for quality and contract compliance and when necessary develop and implement corrective action plans where actual performance is lower than planned performance. Develop and execute protocols for RN staff as well as the gen
Posted 3 days ago
Assist with the processing of enrollments, disenrollment and various eligibility changes from the 834 files for Medicaid and Badger Care Plus. Assist with the entering Family Care Partnership (FCP) enrollments into the Enrollment ODS and interact with FCP staff members, the Wisconsin Department of Health Services (DHS), Centers for Medicare and Medicaid (CMS) and other external resources as needed
Posted 3 days ago
Conduct member outreach and engagement activities to designated members, including face to face, mail and telephone contact. Conduct outreach and engagement activities that support patient continuity of care, including re engaging members in care if they miss appointments or do not follow up on treatment. Conduct initial and periodic needs assessments, including assessing barriers and assets (e.g.
Posted 3 days ago
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