gatekeeper

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Gatekeeper

In insurance, requirements that a policyholder must fulfill before becoming eligible for a benefit. This especially applies to eligibility for long-term care in health insurance.

gatekeeper

a person who controls important information flows and access to other persons within an organization. The person concerned may have control over the information which goes up or down the organizational structure or in and out of the organization.

gatekeeper

A slang expression to describe the person you must persuade or impress just to get your proposal in front of a decision maker.

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The care coordinator enhances care by using patient-specific data from Cigna to help identify patients being discharged from the hospital who might be at risk for readmission, as well as patients who may be overdue for important health screenings or who may have skipped a prescription refill.
The care coordinator then assigns owners to the goals and interventions on the plan.
Our Cancer Care Coordinators serve as a single point of contact for cancer patients, offering guidance and education from the time of diagnosis to treatment and follow up at no cost to the patient," said Robbin Lieberman, co-chair of the annual Playing for TIME charity event that helps fund the positions through community philanthropy.
The formation of the CNS Chronic Care Coordinator position will allow patients and families to receive the additional support for continued care and services that are not currently available," says Michael Romano, founder of the Foundation.
The care coordinator also helps individuals schedule appointments, provides health education and refers people to Cigna's clinical support programs, such as disease management programs for diabetes, heart disease and other conditions; and lifestyle management programs, such as programs for tobacco cessation, weight management and stress management.
That's when he engaged the care coordinators from CarePartner to advocate on his behalf.
How the embedded care coordinator program will benefit from planned enhancements at YNHHS, including deployment of a clinically integrated network for community practices and an automated outreach platform to help close gaps in care.
An integrated team, to be in place by the end of the month, will include licensed behavioral health consultants, a medical social worker, a pharmacist, an RN case manager, a licensed practical nurse care coordinator, a primary care provider, a psychiatrist, a patient access representative and a community health worker.
She has an additional six years experience as a Director of Nursing, Assistant Director of Nursing, Patient Care Coordinator, Practical Nurse Clinical Instructor, Charge Nurse, and Staff Nurse in long-term and acute care facilities.
She credited The House's child care coordinator, Phoebe Durant, with expanding services.
I just hope I look that good when I'm 100,'' said Shannon Nelson, the hospital's critical care coordinator, as she watched Mitchell blow our her birthday candles.
Q The policies I'm selling contain a care coordinator benefit.