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Description The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate ..
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... data and information into the medical management applications and other required ... written communication skills Familiarity with medical terminology Ability to work a ... agencies and additional community resources..
Description Imagine putting your career into overdrive, interacting with C-suite executives who mentor and collaborate with you. Imagine learning about and influencing systems that affect population health at a national level. ..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g. CPT)..
... and patient safety. While this associate receives inbound calls, with limited ... and patient safety. While this associate receives inbound calls, up to ... information such as pharmacy; plan..
Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
... audit/validation processes to ensure that medical record documentation and diagnosis coding ... Auditor 2 validates and interprets medical documentation to ensure capture of ... Health field Previous experience in..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic, faxed, ... Case Management Discuss cases with..
Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..
