
MASC Medical Recruitment Firm
Remote Jobs
3 Jobs
• Manage case assignments, develop service plans, track progress, and execute case closures • Advocate for clients with advice and information about treatment options and clinical status, evaluating medical necessity and appropriating resources • Manage the cost of care wisely, and provide timely and accurate information to payors • Track and record case information, complete forms, and produce reports • Facilitate care and treatment via scheduling, information sharing, and case coordination • Assess and act accordingly in response to treatment barriers and psychosocial issues
• Serve as the lead clinical representative in recurring operational and strategy meetings with payer partners. • Collaborate directly with medical directors and quality teams on care model design, performance evaluation, and program refinement. • Participate confidently in discussions involving value-based metrics, shared savings, contract provisions, and risk-based performance indicators. • Translate regulatory and contractual expectations into clear workflows for internal teams. • Provide mentorship and supervision to Nurse Practitioners and interdisciplinary care teams. • Foster a culture of accountability, collaboration, and clinical excellence. • Guide teams toward measurable performance outcomes and coordinated care delivery. • Support hiring, onboarding, and development of additional providers as new programs launch. • Act as the clinical liaison between payer requirements and internal operational leaders. • Partner closely with Operations, Quality, Compliance, and Analytics to ensure program success. • Oversee quality and compliance initiatives for Medi-Cal, Medicare Advantage, and dual-eligible programs. • Use performance data to guide decision-making, interventions, and continuous improvement. • Support audit readiness and quality incentive program requirements.
• Lead and oversee all psychiatric teams providing telehealth care to older adults with SMI, SUD and dementia. • Design, refine, and scale a nationally consistent model of value-based geriatric psychiatry. • Drive quality improvement, compliance, and performance metrics. • Monitor and track key quality and outcome indicators, making necessary adjustments to the organization's plan. • Collaborate with product and technology teams to translate clinical workflows into the technology platform. • Lead clinical recruitment, onboarding, training and education programs. • Develop and implement online learning platform and supervision processes. • Drive and cultivate excellence in patient care across clinical teams. • Support primary care providers through training and consultation. • Build and maintain relationships with key stakeholders.