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... Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by ... state by guiding members/families toward and facilitate interaction with..
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... 2 utilizes behavioral health knowledge and skills to support the coordination, ... to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization .....
... to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization ... 2 work assignments are varied and frequently require interpretation and independent determination..
... audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered ... services rendered is complete, compliant and accurate to support optimal reimbursement. ... 2 work..
... Coach 2 supports health promotion and disease prevention and care management services. The Wellness ... 2 work assignments are varied and frequently require interpretation and independent determination of the..
... responsible for the member's safety and advocacy outcome as part of ... facilitate access to the member and avoid adverse outcomes for the ... strong emphasis on member advocacy..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient ... codes..
... Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties ... paying all or part of medical expenditures for an organization that ... 2 work assignments are varied..
... Field Care Manager NP assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by ... state by guiding members/families toward and facilitate interaction with..