Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Com

Quality Improvement Operations Provide direction and manage HMSA's overarching Quality Improvement program, including the oversight of staff and necessary resources required to design and implement programs related to compliance with accreditation, regulatory and program requirements (e.g., NCQA, Med QUEST, CMS, OPM, etc.). Oversee project teams and provide guidance to su

The primary role of the Substance Use Treatment Clinical Supervisor is to provide clinical supervision of the treatment services provided by the residential and outpatient counseling staff to ensure that all integrated substance use disorder treatment program service delivery, licensing, accreditation and best practices and contract standards/procedures are met. Half time

Engagement, Assessment and Planning Engages members in the case management program (outreach and successful enrollment) using diagnostic cost group classifications or other tools which identify the relative risk score and illness burden. Identifying catastrophic health care users with significant health care costs is a priority. Conducts and documents a comprehensive asse