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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..
... 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..
... outcomes, and process efficiencies. Completes medical necessity and level of care ... Educates providers on utilization and medical management processes. Enters and maintains ... pertinent clinical information in various..
... 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..
... utilizes clinical nursing skills to support the coordination, documentation and communication ... coordination, documentation and communication of medical services and/or benefit administration determinations ... care, skilled or rehabilitation setting..
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...
... 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..
... 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 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..
... 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..
... 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 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 ..
... 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..
... Stars and Risk Adjustment National Medical Director in Montpelier Vermont Description ... individual contributor, this role will: 1) inform and support HQRI's provider strategy across Stars, ... this role..
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 ..
Description The Medical Coding Coordinator 2 will process and apply ... based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical records to determine if the appropriate .....
Job Information Humana UM Medical Director - Conviva in Montpelier ... in Montpelier Vermont Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
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..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE ... Vermont Description This UM Administration Coordinator 2 will contribute to administration ... care equipment. The UM Administration Coordinator..
