CM Delegation Liaison (Case Manager Education Liaison)

JOB DESCRIPTION Job Summary

Provides support for clinical liaison delegation oversight activities in conjunction with enterprise partners and multidisciplinary team coordinating integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• In collaboration with the enterprise delegation oversight team, coordinates, conducts and documents pre-delegation, ongoing and annual assessments to determine compliance with delegated functions.
• In collaboration with the enterprise delegation oversight team, supports the implementation of newly identified delegates for care management.
• Serves as subject matter expert for local health plan state provider agreements, National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), policies and procedures, quick reference guides (QRGs), audit tools and additional requirements during im...