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    <title>Apex Health Solutions Jobs</title>
    <link>https://j.brt.mv/CompanyPortal.do?companyGK=36560&amp;portalGK=26135</link>
    <description><![CDATA[Job Postings available for application.]]></description>
    <language>en-us</language>
    <pubDate>Tue, 12 May 2026 06:03:57 EDT</pubDate>
    <lastBuildDate>Tue, 12 May 2026 06:03:57 EDT</lastBuildDate>
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    <item>
      <title><![CDATA[Practice Performance Manager (Houston, TX) - Houston, TX]]></title>
      <link>https://j.brt.mv/jb.do?reqGK=27775981&amp;companyGK=36560&amp;portalGK=26135</link>
      <guid>9a862b1a-eaef-4fae-ab84-22fa3638aad6</guid>
      <description><![CDATA[Position Overview

Apex Health Solutions is seeking a high-caliber Practice Performance Manager (PPM) to serve as a strategic advisor and on-the-ground transformation catalyst across our growing network of value-based care partnerships. This mission-critical role sits at the intersection of clinical quality improvement, risk adjustment, population health analytics, and practice operations&mdash;empowering primary care physicians, specialist groups, and entire care teams to achieve sustainable, measurable performance gains.
 
The PPM functions as both a trusted clinical partner and a skilled change management professional, delivering direct practice support&mdash;on-site and remotely&mdash;to drive improvement across key performance domains including HEDIS/Stars quality measures, HCC capture rates, Annual Wellness Visit (AWV) completion, care gap closure, and EHR workflow optimization. This individual will work at the forefront of Apex's value-based care delivery model, translating data into action and building lasting clinical and operational capabilities within partner practices.
 
The ideal candidate combines deep clinical or quality improvement expertise with strong interpersonal influence skills&mdash;capable of coaching frontline staff, engaging physicians, and presenting data-driven strategies to practice leadership. If you are passionate about transforming how healthcare is delivered and measured, this role offers a unique opportunity to make a direct, lasting impact on patient outcomes at scale.

What You Will Drive





Clinical Quality
Drive measurable improvement in HEDIS, eCQM, Stars ratings, and quality gap closure rates across assigned practices


Risk Adjustment
Improve HCC capture accuracy and RAF score accuracy through targeted clinical documentation improvement (CDI) education and workflow implementation




Operational Efficiency
Optimize EHR workflows, billing practices, and administrative processes to reduce friction and improve throughput


Practice Transformation
Build lasting team-based care competencies and data-driven decision-making capabilities within partner organizations




 

Key Responsibilities

 
Practice Partnership & Planned Care Model Development
&bull;        Establish and sustain trusted, high-value advisory relationships with physician practices, serving as the primary point of contact for all value-based care performance initiatives.
&bull;        Co-design and implement a planned care model within each practice, integrating administrative, financial, and clinical systems to drive coordinated, proactive patient management and improved outcomes.
&bull;        Identify and prioritize root causes of financial and quality underperformance; develop and execute targeted improvement strategies with clearly defined accountability metrics for each practice site.
 
EHR Optimization & Workflow Redesign
&bull;        Lead comprehensive workflow design and redesign efforts with practice teams, encompassing EHR optimization, clinical documentation standardization, coding practices, and billing accuracy.
&bull;        Conduct financial analyses and performance improvement assessments, translating findings into actionable workflow modifications that yield measurable efficiency gains.
&bull;        Evaluate current-state EHR utilization across assigned practices and deliver tailored optimization recommendations to maximize data capture quality, billing compliance, and care coordination.
 
Clinical Documentation Improvement (CDI)
&bull;        Partner with clinicians to improve clinical documentation accuracy and specificity, with a focus on HCC (Hierarchical Condition Category) capture, chronic disease coding, and annual risk adjustment initiatives.
&bull;        Conduct structured chart reviews, deliver real-time feedback, and facilitate targeted education sessions to improve the completeness and accuracy of clinical records supporting risk adjustment accuracy.
&bull;        Serve as a subject matter expert on risk adjustment methodologies, ensuring clinical teams understand the connection between documentation quality, RAF (Risk Adjustment Factor) scores, and overall contract performance.
 
Population Health Analytics & Data-Driven Performance Management
&bull;        Leverage population health tools, EHR-based dashboards, and payer-provided data sets to support practices in identifying care gaps, stratifying patient risk panels, and prioritizing outreach efforts.
&bull;        Coach practice leadership and clinical staff to independently interpret quality metric reports&mdash;including HEDIS measures, Stars scores, and cost-of-care analytics&mdash;and translate insights into sustainable process improvements.
&bull;        Present data-driven performance reports to practice leaders and senior stakeholders, highlighting trends, gaps, and progress toward VBC contract benchmarks with clear improvement targets.
 
Physician & Staff Engagement
&bull;        Build and maintain collegial, trust-based relationships with physicians, advanced practice providers, and clinical staff to facilitate meaningful and sustained behavioral change in support of VBC goals.
&bull;        Develop and deliver customized education programs, resources, and toolkits to build internal clinical and operational capabilities around team-based care, patient engagement, and quality improvement.
&bull;        Engage directly with patients as appropriate to schedule Annual Wellness Visits (AWVs), facilitate specialist referrals, and support patient navigation&mdash;contributing directly to quality metric performance.
 
Training, Tools & Interdisciplinary Collaboration
&bull;        Develop, implement, and continuously refine training materials, project plans, and practice transformation toolkits used to support onboarding, ongoing education, and performance sustainment.
&bull;        Collaborate effectively across interdisciplinary teams including clinical implementation, analytics, research, support services, and medical record retrieval to ensure a cohesive and coordinated practice support model.
&bull;        Champion a culture of continuous quality improvement by modeling data-informed decision-making, collegial communication, and collaborative problem-solving with practice partners and internal colleagues alike.
 

Qualifications

 
Education & Experience
&bull;        Bachelor's Degree in Healthcare Administration, Nursing, Health Informatics, Business, or a related field required; advanced degree preferred. A combination of equivalent education and five (5) or more years of directly relevant experience will be considered in lieu of a degree.
&bull;        Minimum three (3) years of hands-on experience with Electronic Medical Record (EMR) / Electronic Health Record (EHR) systems, including demonstrated proficiency in system operations, workflow design, optimization, and implementation.
&bull;        Minimum three (3) years of progressive experience in one or more of the following: medical practice management, clinical program development, healthcare quality analytics, clinical transformation, or quality improvement (QI) initiatives within a value-based care or managed care environment.
 
Required Credentials (One or More)
&bull;        Certified Risk Adjustment Coder (CRC) &mdash; demonstrates expertise in HCC methodology and risk adjustment documentation standards
&bull;        Certified Professional Coder (CPC) &mdash; demonstrates proficiency in medical coding compliance and billing accuracy
 
Preferred Credentials (One or More)
&bull;        Certified Professional in Healthcare Quality (CPHQ) &mdash; demonstrates competency in quality improvement methodologies and performance measurement
&bull;        Licensed Vocational Nurse (LVN) or equivalent clinical licensure &mdash; provides direct clinical credibility in practice settings
 
Knowledge, Skills & Competencies
&bull;        Demonstrated knowledge of value-based care models, including ACO structures, shared savings programs, risk-based contracting, and quality performance metrics (HEDIS, Stars, CAHPS, etc.)
&bull;        Strong proficiency in data analysis and the ability to translate complex quality and claims data into clear, actionable practice-level recommendations
&bull;        Exceptional interpersonal and communication skills with a proven ability to build trust, navigate complex stakeholder relationships, and drive behavioral change across diverse clinical environments
&bull;        Experience with clinical documentation improvement (CDI), risk adjustment concepts, and HCC coding education strongly preferred
&bull;        Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Teams) and familiarity with population health management platforms and/or EHR reporting modules
&bull;        Self-directed, highly organized, and capable of managing a portfolio of multiple practice relationships simultaneously with minimal supervision
&bull;        Willingness and ability to travel within the assigned geographic region for on-site practice visits as needed
 

About Apex Health Solutions

Apex Health Solutions is a technology-enabled management services organization (MSO) purpose-built to advance value-based care. We partner with physician groups, health systems, and payers to accelerate the transition from fee-for-service to high-performing, value-based contracts&mdash;delivering measurable improvements in quality, risk accuracy, and total cost of care. Our tagline, Climb Higher, Faster, reflects our commitment to helping provider organizations achieve sustainable performance at scale.
 

Why Join Apex Health Solutions?

At Apex Health Solutions, we believe that the future of healthcare is value-based&mdash;and that meaningful, lasting change happens at the practice level. As a Practice Performance Manager, you will be at the center of that transformation, equipped with best-in-class data tools, dedicated interdisciplinary support, and the autonomy to drive real impact.
 
&bull;        Purpose-driven mission: Directly improve patient outcomes and quality of care for communities across your region
&bull;        Innovative environment: Work at the cutting edge of value-based care with access to industry-leading analytics platforms and data-driven performance tools
&bull;        Collaborative culture: Partner with a team of experienced clinical, analytical, and operational professionals who are equally committed to practice transformation
&bull;        Career growth: Grow your expertise within a rapidly expanding organization at the forefront of healthcare's shift to value]]></description>
      <pubDate>Thu, 23 Apr 2026 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Practice Coordinator - Houston, TX]]></title>
      <link>https://j.brt.mv/jb.do?reqGK=27776016&amp;companyGK=36560&amp;portalGK=26135</link>
      <guid>8d91e9fe-7e65-4454-a23c-50409912f2d7</guid>
      <description><![CDATA[SUMMARY:
The Practice Coordinator performs advanced outreach and care coordination activities in support of value-based care initiatives. Operating primarily in the field, this role is responsible for conducting Annual Wellness Visit (AWV) and Transitional Care (TRC) outreach and scheduling, while also driving HEDIS gap closure through supplemental documentation collection and submission. The Practice Coordinator serves as a liaison between patients, providers, and the quality team, ensuring high-risk and hard-to-reach members receive timely preventive and transitional care services. This role supports field-based efforts in quality performance improvement across risk-bearing populations.
EDUCATION:
&bull;        Bachelor&rsquo;s or Associate&rsquo;s Degree in a related field, or three (3) or more years of equivalent healthcare outreach experience
LICENSES/CERTIFICATIONS:
A license in one of the following is preferred:
&bull;        Pharmacy Technician (CPhT)
&bull;        Medical Assistant (CMA/RMA)
&bull;        Community Health Worker (CHW)
EXPERIENCE:
&bull;        Minimum 2&ndash;3 years of experience in patient outreach, care coordination, or community health, preferably in a managed care or value-based care setting
&bull;        Demonstrated experience with AWV scheduling, TRC follow-up, or similar preventive care programs
&bull;        Familiarity with HEDIS measures, supplemental data submission, and quality gap closure processes
&bull;        Experience working in the field or conducting in-home patient visits preferred
&bull;        Knowledge of CMS STAR Ratings, risk adjustment (HCC/RAF), and NCQA requirements preferred
SKILLS:
&bull;        Strong interpersonal and communication skills for engaging patients, families, and clinical staff
&bull;        Ability to work independently in the field with minimal supervision
&bull;        Demonstrated ability to manage a complex, high-volume caseload and prioritize effectively
&bull;        Strong problem-solving skills to address barriers to care and escalate appropriately
&bull;        Attention to detail in documentation, supplemental data, and record management
&bull;        Ability to collaborate cross-functionally with quality managers, providers, and payer teams
&bull;        Culturally competent and able to communicate effectively with diverse patient populations
RESPONSIBILITIES:
In-Field AWV and TRC Outreach & Scheduling:
&bull;        Travels to clinics for in-field outreach to Medicare Advantage and other eligible members to schedule and facilitate Annual Wellness Visits (AWVs)
&bull;        Performs Transitional Care (TRC) outreach following hospital discharge to support timely follow-up appointments and reduce readmissions
&bull;        Schedules AWV and TRC appointments directly in the EHR (e.g., Epic, eCW) on behalf of patients and practices
&bull;        Maintains accurate daily and weekly tracking of outreach attempts, scheduled visits, and completed appointments
&bull;        Collaborates with centralized scheduling team 
HEDIS Gap Closure & Supplemental Documentation:
&bull;        Identifies open HEDIS care gaps for assigned patient panels and prioritizes outreach based on measure deadlines and opportunity impact
&bull;        Collects, organizes, and submits supplemental documentation (e.g., lab results, visit records, referral notes) to support measure closure with payers
&bull;        Coordinates with provider offices and clinical staff to obtain missing documentation needed to close quality gaps
&bull;        Works with Practice Performance Managers to track gap closure progress and flag unresolved barriers
&bull;        Ensures all supplemental submissions meet payer specifications and timelines
Member Advocacy & Care Coordination:
&bull;        Acts as a liaison between members, providers, and the quality team to facilitate timely and appropriate care access
&bull;        Assists members with wraparound services including transportation arrangement, community resource connections, and appointment reminders
&bull;        Conducts telephonic and in-clinic outreach to members at risk for care gaps, medication non-adherence, or care transitions
&bull;        Refers members to case management, disease management, or social services as appropriate
&bull;        Documents all outreach and coordination activities in the relevant system of record in a timely and accurate manner
Quality Support & Reporting:
&bull;        Supports Practice Performance Managers with performance reporting, including tracking completion rates for AWVs, TRC visits, and HEDIS measures
&bull;        Participates in weekly check-ins and monthly performance meetings to report on outreach progress and identify improvement opportunities
&bull;        Assists in identifying workflow or operational barriers at the clinic level that affect quality outcomes
&bull;        Completes special projects and assignments as directed by leadership
&bull;        Performs other duties as assigned
TECHNICAL SKILLS:
&bull;        Proficiency in Microsoft Office (Word, Excel, Outlook)
&bull;        Working knowledge of Electronic Health Records (EHR); Epic and/or eClinicalWorks preferred
&bull;        Familiarity with payer quality portals and supplemental data submission platforms
&bull;        Ability to navigate care gap dashboards and population health tools]]></description>
      <pubDate>Thu, 23 Apr 2026 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Practice Performance Manager (Wichita, KS) - Wichita, KS]]></title>
      <link>https://j.brt.mv/jb.do?reqGK=27768352&amp;companyGK=36560&amp;portalGK=26135</link>
      <guid>46400587-D4BA-670E-E063-0100007F11C0</guid>
      <description><![CDATA[Summary 


The Practice Performance Manager (PPM) is responsible for all value-based care initiatives, interventions to support the implementation and transition to Value Based Care processes. The PPM is responsible for providing on-site and remote assistance and /or education to clinicians, care teams and their associated practices to drive improvement in clinical quality, risk adjustment and operational efficiency. The PPM is responsible for partnering with practices to ensure VBC goals are met. 


 


This position coaches practice staff to improve patient outcomes by developing skills in process improvement, value-based and teambased care, encouraging patient engagement, and analyzing quality data and measurements. The PPM is committed to leveraging data and analytics for quality improvement, research, and practice transformation. The PPM will provide guidance and expertise in the development, implementation, and optimization of training materials used to facilitate practice transformation. The PPM will work as part of an interdisciplinary team to create and deliver products and services including user education and training materials, project plans, tool kits, and evaluation materials. 


 


Key Responsibilities 




Establish a planned care model with practices in integrating administrative, financial, and clinical systems for better performance and improved outcomes. 






Develop and implement workflow design and redesign, including electronic health record (EHR) optimization, clinical documentation, billing practices, assessments, financial analyses, and financial performance improvement and reporting. 






Works with practice sites on clinical documentation improvement activities, to include chart review, feedback and education. 






Utilize available tools to assist clinicians with capturing and analyzing populationbased data to support practices with datadriven decision making and direct improvement efforts to support practice leadership develop the skills to interpret and act on quality metric data with performance management tactics. 






Build trusting relationships to help drive continuous change with physicians/physician staff to find ways to encourage member clinical participation in wellness and education by providing resources and educational opportunities to provider and staff. 






Engage directly with patients as needed to schedule annual wellness visits, facilitate referrals, and help with patient navigation. 






Develop and implement changes to root causes of financial and quality under performance and communicate strategies to providers and provider groups. 






Understand the role of analytics and the importance of clear, defined, and accurate data for improving healthcare outcomes. 






Execute responsibilities in a manner that promotes collegial, collaborative, and effective communication to successfully reach mutually agreed upon goals with practice sites and colleagues. 






Provide support for other interdisciplinary teams (e.g. s clinical implementation, analysis, research, support services, training, medical record retrieval projects). 




 


Qualifications 




Bachelors Degree in related field or five years related experience 








A license in one of the following is preferred: 






Certified Risk Adjustment Coder (CRC) 






Certified Professional Coder (CPC) 






Certified Professional in Healthcare Quality (CPHQ) 






Licensed Vocational Nurse (LVN) 






Minimum three years of experience with a focus on EMR operations, use, design, and implementation 






Minimum three years of medical practice management, clinical program development, clinical transformation, healthcare quality analytics and/or quality improvement]]></description>
      <pubDate>Fri, 20 Mar 2026 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Patient Care Advocate - Houston, TX]]></title>
      <link>https://j.brt.mv/jb.do?reqGK=27770120&amp;companyGK=36560&amp;portalGK=26135</link>
      <guid>1cb404ae-e0e3-4406-a997-41c1b090a192</guid>
      <description><![CDATA[SUMMARY:
Works with members and providers to close care gaps, assist with medication refills, identify barriers to care, and improve the overall member and provider experience through outreach with members and providers. Conducts telephonic outreach to members who are identified as needing preventive services in support of quality initiatives and provides education to members regarding the care gaps they have. Assist with scheduling doctor appointments on behalf of the member and assists with wraparound services such as arranging transportation, connecting them with community-based resources and other affinity programs as available. Maintains confidentiality of business and protected health information.
 
Reports to: Manager, Quality & Strategy Engagement
Location: Houston, TX
 
EDUCATION:
&bull; Bachelors or Associates Degree in related field or two (2) years related experience
 
LICENSES/CERTIFICATIONS:
A license in one of the following is preferred:
&bull; Pharmacy Technician (CPhT)
&bull; Licensed Vocational Nurse (LVN)
&bull; Registered Nurse (RN)
&bull; Social Worker (LSW)
 
EXPERIENCE:
&bull; Work experience should be in direct patient care, social work, quality improvement or health coaching
preferable in a managed care environment.
&bull; Knowledge of CMS STAR Ratings Program requirements preferred.
&bull; Knowledge of HEDIS and NCQA requirements preferred.
 
SKILLS:
&bull; Knowledge of healthcare delivery
&bull; Strong oral communication skills
&bull; Ability to work in a fast paced environment with changing priorities
&bull; Ability to work with others in a matrixed environment
&bull; Demonstrated written communication skills
&bull; Demonstrated time management and priority setting skills
&bull; Demonstrated problem solving skills
&bull; Demonstrated organizational skills
 
RESPONSIBILITIES:
&bull; Acts as a liaison and member advocate between the member/family, physician and facilities/agencies.
&bull; Schedules doctor appointments for members with care gaps to access needed preventive care services
&bull; Conducts telephonic outreach to members at risk for medication non-adherence and provides assistance as needed with obtaining medication refills.
&bull; Conducts telephonic outreach to members and providers to support quality improvement & risk adjustment
initiatives
&bull; Arranges transportation for members as needed.
&bull; Arranges follow-up appointments for member as needed.
&bull; Documents all actions taken regarding contact related to member.
&bull; Interacts with other departments including customer service to resolve member issues.
&bull; Refers to case or disease management as appropriate.
&bull; Completes special assignments and projects instrumental to the function of the department.
&bull; Performs other duties as assigned.
 
TECHNICAL SKILLS:
&bull; Working knowledge of Microsoft Office
&bull; Working knowledge of Electronic Health Records (EHR)
 
About Apex Health Solutions
Apex Health is a tech-enabled management services organization transforming how health systems unlock value from their physician networks and succeed in value-based care. More than a consultant, Apex embeds as a long-term partner to drive sustainable performance across provider enablement, quality, network growth, and value-based care. With proven success at leading health systems, Apex helps clients preserve local control over care delivery and financing, rather than outsourcing it to national insurers.]]></description>
      <pubDate>Fri, 13 Mar 2026 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Certified Medical Coder - Houston, TX]]></title>
      <link>https://j.brt.mv/jb.do?reqGK=27768353&amp;companyGK=36560&amp;portalGK=26135</link>
      <guid>46404D1C-16C0-868E-E063-0100007F0E1B</guid>
      <description><![CDATA[Summary 


Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. 


 


Key Responsibilities 




Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application 






Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission 






Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system 






Selects and accurately records all appropriate records and data on assigned chart abstraction projects 






Ability to meet productivity and accuracy requirements 






Performs other duties as assigned 




 


Qualifications 




High School Diploma or GED required  






A certification in one of the following is required: 






Certified Professional Coder (CPC) 






Certified Risk Adjustment Coder (CRC) 






Certified Coding Specialist (CCS) 






Registered Health Information Technician (RHIT) 






Registered Health Information Administrator (RHIA) 








Minimum of three (3) years HCC experience performing concurrent and retrospective risk adjustment chart reviews required 






Current AAPC or AHIMA credential required 






Risk Adjustment / HCC knowledge required 






Managed Care experience preferred]]></description>
      <pubDate>Fri, 13 Mar 2026 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Care Manager - Houston, TX]]></title>
      <link>https://j.brt.mv/jb.do?reqGK=27418164&amp;companyGK=36560&amp;portalGK=26135</link>
      <guid>B141173E-177F-28AD-E053-0100007F1A21</guid>
      <description><![CDATA[Summary
Responsible for providing care management services and support to improve health outcomes via a coordinated approach.  The Care Manager works in collaboration and continuous partnership with patients and their family members, as well as pcp, specialists, clinic, hospital, and post-acute partners, along with community resources, to achieve the desired outcomes. Using a defined process to identify patients/members at risk for poor outcomes, the Care Manager establishes care plans and goals, and coordinates care and services throughout the continuum of care with the goal of maximizing member health and well-being, improving adherence to health programs, and reducing health care costs.  The Care Manager must be highly collaborative with strong customer service skills and be able to demonstrate the ability to actively engage patients and providers in positive relationships. Must also be able to demonstrate the knowledge and skills necessary to provide care management services appropriate to the member being served.
Reports to:  Director, Health Services  
Location: Houston, TX area; will consider remote deployment on a case by case basis

Education
Education: Registered Nurse (RN) 
LICENSES/CERTIFICATIONS:
Registered Nurse (RN)  with active license in the state of Texas or Compact state.
Certification in Case Management preferred (CCM or ACM)
EXPERIENCE:

Minimum 2 years in case management or care coordination required; chronic disease management or population health preferred
Managed care experience preferred
Strong ability to demonstrate knowledge of ACO initiatives and care management processes
Understanding of NCQA and CMS care management guidelines preferred
Experience working in interdisciplinary teams
Computer proficiency required
Strong oral and written communication skills required
Effective oral and written communication skill
Some travel in the Houston metro area may be required
Remote deployment will be considered

SKILLS

Knowledge of healthcare delivery
Ability to work in a fast paced environment with changing priorities
Ability to work with others in a matrixed environment
Demonstrated written communication skills
Demonstrated time management and priority setting skills
Demonstrated problem solving skills
Demonstrated organizational skills 
Demonstrated ability to converse with and collaborate with physicians and other healthcare personnel
Reasoning ability to identify and define problems, collect data/information, establish facts, and draw valid conclusions, makes decisions and implements changes related to TDI and Federal regulations

RESPONSIBILITIES

Provides primary care management interventions (screening, assessment, care planning, implementation of interventions) to identified members enrolled in the care management program
Identify members at risk for poor outcomes, or experiencing poor coordination of services, who would benefit from more intensive follow-up and care coordination.
Conducts a thorough assessment of the member&rsquo;s current status, with attention to the physical, behavioral, social and economic care needs
Coordinates a comprehensive plan of care for the high-risk, high-utilizing population, and collaborates with clinical staff and the patient/family in the development and execution of the plan of care, and achievement of goals.
Provides proactive outreach to members to include telephonic, internet, or face-to-face encounters.
Works seamlessly with other health management disciplines to assist members in problem-solving potential issues related to financial and psychological barriers, as well as problems with the overall system of care.
Improves continuity of care by managing and facilitating relationships with post-acute providers, physicians, and community resources.
Conducts chronic disease and self-management education and support to improve comprehension, health literacy and adherence to established plan of care.
Provides medication management support, including comprehensive medication review and adherence education


Communicates, collaborates and cooperates with internal and external stakeholders.
Collaborates effectively with Utilization Management, Quality Management, Pharmacy, Provider relations and other health plan departments
Adheres to all Compliance/Program Integrity requirements.
Complies with HIPAA Regulations
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency
Supports department-based goals which contribute to the success of the organization

TECHNICAL SKILLS

Microsoft Office products
SharePoint experience preferred

About Apex Health Solutions
Apex Health is a tech-enabled management services organization transforming how health systems unlock value from their physician networks and succeed in value-based care. More than a consultant, Apex embeds as a long-term partner to drive sustainable performance across provider enablement, quality, network growth, and value-based care. With proven success at leading health systems, Apex helps clients preserve local control over care delivery and financing, rather than outsourcing it to national insurers.]]></description>
      <pubDate>Thu, 13 Mar 2025 00:00:00 EDT</pubDate>
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