Rancho Cucamonga, California30+ days ago
Care management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. Utilize clinical tools and metrics (e.g., PHQ scores, ER visit trends, hospitalization trends, substance use trends) to inform interventions, manage caseloads, and escalate high-risk cases appropriately.