Network Health WI

The Associate Medical Director manages procedures and standards to ensure the quality and efficiency of healthcare delivered to members. This includes chairing quality committees and overseeing utilization management and clinical decision-making processes.

The Registered Nurse Care Manager provides member-centric case management services including assessment, planning, coordination, evaluation, and advocacy across the healthcare continuum. Responsibilities involve screening candidates, developing care plans with goals, reviewing tests, providing education, and facilitating coordination among providers to ensure quality, cost-effective outcomes.

The Associate Medical Director supports the CMO by overseeing the administration of procedures, protocols, and standards to ensure the efficiency and quality of healthcare delivered to Network Health members, including chairing quality and accreditation committees. Key duties involve assisting with monitoring care appropriateness, participating in utilization management decisions, contributing to quality guideline development, and providing medical consultation on various complex issues.