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... 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..
... Mngmt, Physician, ProFee Years of Experience 2 - 5 years Employment ... coder that comes with current experience coding for Physician/Profee accounts Comes ... accounts Comes with previous Consulting..
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Job ID 21000KO8Available Openings 1PURPOSE AND SCOPE: The Inpatient Services Charge ... a limited period of time, and for specific additional duties, as ... provision of Acute Dialysis Services and..
... to increasing access, lowering costs and improving quality of care. Millions ... prescriptions to helping manage chronic and specialty conditions. As a Staff ... our purpose, modeling our values,..
... use clinical knowledge, communication skills, and independent critical thinking skills towards ... skills towards interpreting criteria, policies, and procedures to provide the best ... procedures to provide the best..
... Lead is responsible for monitoring and oversight of the end-to-end encounter ... In collaboration with Encounters, Finance and Operations teams, the Medicaid Encounters ... the Medicaid Encounters Lead analyzes..
... will lead teams of nurses and behavior health professionals responsible for ... professionals responsible for Care Management and Utilization Management. The Clinical Business ... on problems of diverse scope..
... The Care Coach 1 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..
... opportunities to improve provider documentation and creates an education plan tailored ... 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ... Educator..
... will lead teams of nurses and behavior health professionals responsible for ... Associate Director, Care Management leads and guides others in providing integrated ... in providing integrated services to..
... as clinical liaison between vendors and organization. The Clinical Vendor Management ... on problems of diverse scope and complexity ranging from moderate to ... Clinical Vendor Management Lead reviews..
