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... 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..
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... 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..
... 300 physician practices, 800 clinicians, and 300,000 patients across the states ... across the states of Florida and Texas. We need people with ... a passion for helping others..
... brand for a primary care medical group practice with centers open ... Nevada, North Carolina, South Carolina and Texas. CenterWell Senior Primary Care ... of Medicare Advantage health plans..
... 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..
... 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..
... 2 reviews utilization management activities and documentation to ensure adherence to ... ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The..
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..
... caring for family, friends, finances, and personal life goals. It's about ... members to be happier, healthier, and more productive in their professional ... more productive in their professional..
... Care Coach 1 - Bilingual (English/Spanish) - Tampa, FL in Tampa ... The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness..
... in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by ... state by guiding members/families toward and facilitate interaction with..