• Clever Care Health Plan (Huntington Beach, CA)
    …a fast-moving, game-changing organization that celebrates diversity and innovation. Job Summary The HEDIS / Risk Outreach Coordinator is responsible for ... from offices and internal systems within the organization. The coordinator will also work closely with Stars, Risk...closure support including but not limited to CAHPS and HEDIS / Risk gaps. Conducts member outreach more
    Upward (07/31/25)
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  • Behavioral Health Resource Coordinator

    AmeriHealth Caritas (Millsboro, DE)
    As part of the care coordination team, the Resource Coordinator supports developing and executing outreach strategies in Sussex County, Delaware, to influence ... members in the care coordination program identified as low risk who have opted out of care coordination and...HEDIS , EPSDT, and Plan requirements and other referred outreach through phone calls or home visits, and encourages… more
    AmeriHealth Caritas (10/07/25)
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  • Senior Care Options Nurse Case Manager - Hybrid…

    Fallon Health (Lowell, MA)
    …o Collaborates with the interdisciplinary team in identifying and addressing high risk members o Educate members on preventative screenings and other health care ... to established protocols and program processes such initiatives involving Key Metrics outreach o Ensures members/PRAs participate in the development and approval of… more
    Fallon Health (09/19/25)
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