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DentaQuest

Boston, Massachusetts

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RN Case Manager - GHP Care Coordination
Job SummaryAssesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes.Job DutiesIntegrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare for the identified population.Develops systems of care that monitor progress and promote early intervention in acute care situations.Assists with the design, implementation, and evaluation of the advanced patien


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