Utilization Management Physician Reviewer
Blank Street- Full Time
- Senior (5 to 8 years)
Employment Type: Full-time
Included Health is seeking a compassionate and dedicated Physician Generalist, fellowship-trained in Palliative Care, to join our Care & Case Management (CCM) Program. In this vital role, you will support members throughout their healthcare journey, providing holistic, patient-centered care through remote consultations and case management. Working as part of a multidisciplinary team, you will develop personalized care plans, offer expert clinical guidance, and empower members to make informed health decisions, particularly when managing complex conditions like cancer. You will collaborate with local treating teams, coordinate resources, and ensure seamless care transitions to improve health outcomes. Additionally, you will contribute to program improvement by analyzing clinical trends and member data. This is an opportunity to shape the future of care, expand your practice scope, and make a meaningful impact.
Included Health is a new kind of healthcare company, delivering... [Content truncated]
Healthcare advocacy and specialized care services
Included Health focuses on enhancing the healthcare experience for individuals who often face challenges in accessing quality care. The company provides a variety of services, including primary care, behavioral health, and virtual care, ensuring that members receive timely and appropriate treatment. Their model emphasizes 24/7 on-demand care with a diverse group of providers, allowing for personalized support tailored to complex health needs. Unlike many competitors, Included Health prioritizes underserved populations and partners with employers and consultants to deliver comprehensive healthcare solutions that not only improve health outcomes but also help reduce costs. The ultimate goal of Included Health is to make quality healthcare accessible and understandable for everyone, particularly those who have been overlooked by traditional healthcare systems.