The Care Coordination Manager leads a team of Care Guides to ensure high-quality, person-oriented care for members navigating complex health and social needs. This role oversees operations, regulatory compliance, team development, training, and strategic alignment with organizational goals. Responsibilities include team leadership, program oversight, and ensuring quality and compliance.
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As Senior Medical Director for Utilization Management (UM), you will be an effective change leader and help develop and guide the strategic direction for Utilization Management initiatives. It is essential to be a self-directed and results-oriented physician who leads by example to serve as Wellmark's subject matter expert on effective and efficient processes to reduce overuse and improve quality for our members. Internal + external relationship and trust building is essential for success.