Clinical Operations Opportunities at EmblemHealth
Summary of PositionResponsible for the supervision of Medical Management Operations Teams in various non-clinical functions (including Retrospective...
Summary of PositionSupport the non-clinical functions required for successful Utilization Management. Ensure all work assigned to or by this position...
Summary of PositionResponsible for direct supervision for 5-8+ clinical staff under the guidance of a Supervisor or Lead staff member. Responsible...
Summary of PositionSupport the integration of care and utilization management to Total Population Health holistic model of care, characterized by...
Summary of PositionResponsible for the execution of the non-clinical aspects of the Care Management process. Ensure information is appropriately...
Summary of PositionManage, monitor and track compliance of the UM, CM, MRU, MCRU adherence to Plan, regulatory, and accreditation requirements...
Summary of PositionAssess medical risk for each identified claimant utilizing all available information and applying appropriate guidelines to meet...
Summary of PositionIdentify, develop and conduct appropriate training programs, including working with the Instructional Designer and Business...
Summary of PositionSupport the department’s quality of care and cost containment. Provide utilization management as needed to ensure coordination of...
Summary of PositionWork across the enterprise to help advance the modernization of utilization management, implement strategic process improvements,...