Arcadia Solutions is looking for an RN to help us change the Healthcare industry. We are a leader in the Value Based Care services and operations for clients and insurance companies who have shared financial risk and managed quality of care. We represent the provider community while recognizing the needs of insurance-based products and benefits. Our existing clients have used our services to thrive in the real-world of managed capitation and bonus attainment.
You will assist our clients in navigating the health care system and collaborating with the health care team. The position will work closely with our clients and members promoting wellness, problem-solving and helping individuals realize their personal goals. The role includes patient outreach, assessments, telephonic utilization review services and documentation in compliance with Federal and state regulations, and the NCQA/URAC standards for client members seeking healthcare treatment and services.