WebApr 5, 2024 · Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima Health's members. The Medical Case Manager, High-Risk Pregnancy, will facilitate communication and coordination among all participants of the health care team and the member to ensure that the … Web1. Open the Case Manager (as per above options). 2. The Case Manager tab appears for the specific patient. 3. Click on the Start New Case button. 4. A Case Tab opens. 5. Enter a Case Description. 6. Enter Start Date. 7. Enter Payer Details. 8. Select the Payer. 9. Select the Plan. 10. If you Select Medicare Part A complete the PPS Track ...
Carla McDonald-Ross BSN RN CCM - Nurse Case Manager - Optima Health …
WebThe goal of Complex Case Management is to help members regain optimum health and/or improved functional capability, educate members regarding their chronic condition, teach members about self-management and preventive care, reinforce the Primary Care Physician’s (PCP) prescribed treatment plan, and provide information on resources that … WebPresents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures. May assist in problem solving with provider, claims or service issues. Sentara Health Plans is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier. greenpath background
Optima Health Case Manager Salaries in the United States
WebFeb 20, 2024 · Intensive Case Manager (ICM) salaries - 1 salaries reported: ... Optima Health employees rate the overall compensation and benefits package 3.8/5 stars. What is the highest salary at Optima Health? The highest-paying job at Optima Health is a Care Coordinator with a salary of $52,431 per year. WebApr 13, 2024 · The case management process. Case management is a collaborative process in which a case manager works with clients to ensure they obtain the proper health care in the most cost-effective manner. This is what the process typically looks like: 1. Screening: The case manager reviews a client’s medical records, medical history, and current ... WebAdditional experience includes: Integrated Medical and Behavioral Health Case Management, State Compliance, HEDIS, NCQA, Utilization … green patent leather prada sneakers