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... coordination, documentation and communication of medical services and/or benefit administration determinations. ... 3 - 5 years of Medical Surgery, Heart, Lung or Critical ... rehabilitation clinical setting Fully Bilingual..
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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description The Care Manager, Telephonic Nurse, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction ..
... 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 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)..
... audit/validation processes to ensure that medical record documentation and diagnosis coding ... audit/validation processes to ensure that medical record documentation and diagnosis coding ... guidelines/procedures. Required Qualifications Fully Bilingual..
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 ..
Description The Quality Assurance Technician develops and implements programs to establish and maintain quality standards of existing products and services, as well as developing programs to focus employees on the quality ..
... improving consumer experiences Fully Bilingual English/Spanish . Must be able to ... a Language Proficiency Assessment in English/Spanish. See Additional Information on testing ... vaccination or documentation for a..
