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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 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)..
... 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..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... OR Provide documentation for a medical or religious exemption consideration. This ... oversight of their team this..
... the Health Care industry, Medicare, Medical Claims, CAS, exp.) - San ... Appeals Representative 3 manages client medical denials by conducting a comprehensive ... in the healthcare industry or..
... Manager, Care Management/HMS (FULLY BILINGUAL English/Spanish) in San Juan Puerto Rico ... Excel and PowerPoint Fully Bilingual English/Spanish. Must be able to speak, ... a Language proficiency Assessment in..
... 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..
... Pharmacy Technician 1 (Fully Bilingual English/Spanish. Managed Care/Health insurance exp a ... pharmacy claims processing Fully Bilingual English/Spanish . Must be able to ... a Language Proficiency Assessment in..
... 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..
Company Name: Kroger Specialty Pharmacy Position Type: Employee FLSA Status: Non-Exempt POSITION SUMMARY Perform functions to dispense prescription medications to patients in keeping with providers' prescription orders, provide expert counsel to ..
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 facilitate ..
... Market Leadership Advisor (Fully Bilingual English/Spanish, Managed/Health Care Industry) San Juan, ... improving consumer experiences Fully Bilingual English/Spanish . Must be able to ... a Language Proficiency Assessment in..
... 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 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 ..
... Manager, Care Management/HMS (FULLY BILINGUAL English/Spanish) San Juan, PR in San ... Excel and PowerPoint Fully Bilingual English/Spanish. Must be able to speak, ... a Language proficiency Assessment in..
... the patient's file. Role Essentials Associate Degree or equivalent job experience ... and written communications skills in Spanish Ability to work under tight ... Power Point Role Desirables Bilingual..
Job Information Humana Manager, Care Management/HMS (RN FULLY BILINGUAL with supervisory and Clinical exp) San Juan, PR in San Juan Puerto Rico Description The Manager, Care Management leads teams of nurses ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
... Support Assistant 3 (Fully Bilingual English/Spanish) San Juan, PR in San ... Word, Excel, Outlook Fully Bilingual English/Spanish. Must be able to speak, ... a Language Proficiency Assessment in..
... improving consumer experiences Fully Bilingual English/Spanish . Must be able to ... a Language Proficiency Assessment in English/Spanish. See Additional Information on testing ... including any required supporting documentation..
