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company:(managed health services wi)
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Job Description:nPosition Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests. * Perform..
Job Description:nPosition Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality,..
Job Description:nPosition Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner. * Respond to telephone or written correspondence inquiries from members and/or providers..
Job Description:nPosition Purpose: Responsible for managing a complete program of medical management in accordance with the mission, philosophy, and objectives of plan. The position has oversight for the functions of..
Job Description:nPosition Purpose: Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs..
Job Description:nPosition Purpose: Manage Case Management and Care Coordination services and activities for members with co occurring behavioral health and medical conditions. Manage clinical team of licensed medical and behavioral..