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Description The Inbound Contacts Representative 1 represents the company by addressing ... inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a ... information such as..
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... self-care to enhance quality of medical care and achieve desired clinical ... will serve as the primary coordinator and point of contact for ... licensure. Provide telephonic care guidance..
... health knowledge and skills to support the coordination, documentation, and communication ... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a..
... case manager will offer guidance, support, and coordination of the beneficiary's ... implement, monitor, and evaluate the medical services required to meet the ... and to enhance quality of..
... utilizes clinical nursing skills to support the coordination, documentation and communication ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... of Utilization Management nurses and..
... health knowledge and skills to support the coordination, documentation, and communication ... coordination, documentation, and communication of medical services. Enjoy the flexibility of ... this role are based on..
Description The Referrals Coordinator 2 processes referrals from Civilian ... from Civilian providers. The Referrals Coordinator 2 performs varied activities and ... activities and moderately complex administrative/operational/customer support assignments. Typically..
... Stars and Risk Adjustment National Medical Director in Billings Montana Description ... individual contributor, this role will: 1) inform and support HQRI's provider strategy across Stars, ... this role..
... brand for a primary care medical group practice with centers open ... lead their best lives. We support our associates in becoming happier, ... environment for all. The Referral..
... AVP to lead its Provider Support team and associate's responsibilities. HQRI ... and Improvement (HQRI) relies on medical background and industry-standard clinical / ... consistent across the enterprise to..
Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure ... stage for final distribution all medical records received into the Medical Record Review Department. Analyze..
... health knowledge and skills to support the coordination, documentation, and communication ... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Behavioral Health Professional 2 completes..
Description The UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities and ... activities and moderately complex administrative/operational/customer support assignments...
... within the Medicaid line of business. Responsibilities The Behavioral Health Quality ... for the Medicaid line of business at the national level, and ... Medicaid markets. Provide ongoing wrap-around..
Job Information Humana UM Medical Director - Conviva in Billings ... in Billings Montana Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Description The Network Operations Coordinator 3 manages provider data including ... Value You Benefits starting day 1 of employment Competitive 401k match ... Job Description The Network Operations Coordinator 3..
... primary point of contact and coordinator for the beneficiary for all ... coordinate, implement, monitor, and evaluate medical / behavioral health services required ... Provide telephonic care guidance and..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE ... Montana Description This UM Administration Coordinator 2 will contribute to administration ... care equipment. The UM Administration Coordinator..
Description The Medical Coding Coordinator 3 extracts clinical information from ... information from a variety of medical records and assigns appropriate procedural terminology ... assigns appropriate procedural terminology and medical..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
