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managerial
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... other departmental areas such as medical management, utilization management and case ... and operational problems within department(s). Required Qualifications Must reside in the ... (5) years of previous clinical..
... and consistent application of appropriate medical necessity criteria. Monitor, analyze, and ... (CMS) guidelines and contractual requirements. Required Qualifications Must reside in the ... (5) years of previous clinical..
... in Louisiana is seeking a Manager, Claims Research & Resolution (Claims ... of appropriate inpatient and outpatient medical necessity criteria. Monitors claims administration ... service; develops in-house expertise in..
... other departmental areas such as medical management, utilization management and case ... and operational problems within department(s). Required Qualifications Must reside in the ... following regulated areas: Physicians (Psychiatrists),..
... in Louisiana is seeking a Manager, Care Management (Behavior Health) who ... and develop recommendations to leadership. Required Qualifications Licensed Mental Health Practitioner ... following regulated areas: Physicians (Psychiatrists),..
... of benefits, and payment recoupment. Required Qualifications Must reside in the ... (2) years of claims management experience in the healthcare industry. Experience in claims operation preferably in .....
