Peak Health

Manager

• Identify and connect high risk members to appropriate resources and programs to achieve optimal quality and financial outcomes.
• Manage and triage self-referrals and identify high risk members through HRA, reporting and admissions data.
• Audit patient charts of delegated case management programs to meet accreditation standards.
• Connect members with in-network providers and resources.
• Assist in utilization management reviews and ensure quality standards in auditing processes.
• Participate in case management and quality committees.

Care Manager, RN