- Drive the evolution and clinical vision of the transitional case management program.
- Design clinical protocols, escalation pathways, and performance indicators for transitional care.
- Partner with product and technology teams to integrate evidence-based care tools.
- Provide clinical expertise and guidance to the frontline care team during case conferences and complex discharges.
- Facilitate training, education, and ongoing clinical updates for the care team.
- Conduct virtual visits with members as needed.
- Lead strategic initiatives to reduce avoidable readmissions and emergency utilization.
- Represent the organization in external meetings with health systems, payers, and partners.
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