Clinical Care Lead
Horizon Blue Cross Blue Shield of New Jersey · Hopewell, Virginia, US
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solution...
Job description
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. About the Role: This position is accountable for providing guidance and support to the Dual Special Needs Program (DSNP) Clinical Care Coordinators who perform outreach, and ongoing member contact as well as the clinical care managers who manage the Level 1 members. This position also ensures facilitation of health care services within a member centric plan of care, care gap closure and STARS measures performance under the guidance of the DSNP supervisor. What You'll Do: Oversee, develop and coach staff on process, practices and procedures;...