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Description Responsibilities The ACD Referral Authorization Coordinator Lead role will assist the Supervisor in oversight & monitoring of processing and timeliness standards for referrals and authorizations under the Autism Care Demonstration ..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
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Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
... facility staff. Maintains integrity of medical records and other FMS administrative ... implementation of FMS staffing, and medical supply models, to provide quality ... privileges and compliance with FMS..
... 2 includes data entry into medical management system, assigning an appropriate ... provider, reviewing for benefits, and/or medical necessity as required or pending ... pending to a nurse or..
... treatments in collaboration with the Medical Director.Administers medications as prescribed including ... (as appropriate), and document appropriate medical justification if indicated. Responsible for ... to appropriate physician.Implements staffing and..
... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical records review will be conducted ... other duties as assigned by..
