VP of Care Management :

Los Angeles, CA

Req #: California residence / license
Type: Full Time

Eve Crane & Associates Inc.

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				Job description

Flexible hours / Partial Remote Possible

OVERVIEW OF POSITION:
Responsible for the oversight, management and optimization of all CQI, UM and Care Management activities as they relate to inpatient, social service, home health, DME and other healthcare delivery programs within COMPANY.  Participates in the development, implementation and maintenance of all programs to ensure that patient care maximizes quality and continuity by utilization of appropriate resources and alternatives to inpatient care within the parameters of health plan benefits and established contracts.  Ensures consistency and standardization of the application of these healthcare delivery programs across the regions, and the integration of these programs within the IPA model.  Works with other members of the Regional Accountable Team (RAT) to ensure the clinical, quality, financial and patient satisfaction outcomes of the region.  Works closely with all members of RAT as well as Health Enhancement, Quality Improvement,  Contracting and the Office of the Medical Director.

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