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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
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This position provides case management and support to older adults in the Milwaukee County communities, 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
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This professional position is responsible for safely and effectively transitioning iCare members from acute inpatient care to home in a cost efficient manner. The Readmission Prevention Nurse Practitioner is accountable for integrating assessment, planning, implementation, coordination, monitoring, and evaluation of services for members into a streamlined, evidence based plan of care during the 30
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Review Help Desk Tickets and assist in resolving reporting and application issues Help Desk Ticket cleanup/analysis Application maintenance activities Data Dictionary and Artifacts IT site migrations/SharePoint Assist with preparation for SSRS upgrade; clean up of existing reports and issues mitigation Ad hoc SQL analysis SSIS (for non time sensitive) Internet/Intranet Web Site updates Documentati
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The Grievance and Appeal Coordinator is responsible for reviewing, analyzing, and processing member grievances and appeals in accordance with State and Federal Guidelines. This person ensures that Grievances and Appeals are resolved in a professional, expeditious manner. The Grievance and Appeal Coordinator is a resource for internal and external stakeholders and provides guidance surrounding the
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This professional position provides managed care coordination services to meet medical, behavioral health and social needs of Independent Care members in Milwaukee County while promoting and maintaining the quality of care for members. Conducts initial and annual assessments of members' medical, behavioral health and social needs to develop a care plan for each individual. The Care Coordination as
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This professional position provides care management services to meet medical, behavioral health and social needs of Independent Care members while promoting and maintaining the quality of care for members. ESSENTIAL DUTIES AND RESPONSIBILITIES Conducts initial and ongoing assessment of members' (children and their caregivers) medical, behavioral and social needs. Coordinates and organizes informat
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