- LA Care Health Plan (Los Angeles, CA)
- …and external community based programs or Linked and Carve Out Services (eg DDS/CCS/ MH ). Potential quality of care /potential fraud issues are identified and ... implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service,...in a hospital or HMO setting . Preferred: Managed Care experience performing UM and CM at… more