Company Job Description/Day to Day Duties: Will be taking calls from members and providers. Will work closely with the care management team to ensure members are receiving proper care Will be working on the computer as…
Company Job Description: Perform case management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective…
Are you an experienced Provider Operations Coordinator looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you…
Will be on the phone with Medicare members to answer questions about their health insurance and to assist with open enrollment. High School Diploma 1+ years working with Medicare, Medicaid, Managed Care or Health…
Summary: Responsible for validating disputes presented on Explanation of Benefits (EOB), entering denied claim into the DMT database, and escalating payment /variance trends to Management and generating appeals for…
Salary : Up to $68,000 plus 6% annual bonus opportunities & Excellent Benefits Package Shift: Monday to Friday 8:00AM to 5:00PM Assess the member's current health status, resource utilization, past and present…
Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utilize assessment skills and…
Ideal candidate will be professional at all times, assertive and accountable, have good timekeeping skills, flexible. Candidate should have drive, enthusiasm, initiative, commitment and self-motivation, respect for…
RN are responsible for conducting (hands-off/in-field (reimbursement rate for mileage = .535/mile)) assessments for a state mandated tool. Assessments will take approximately 2.5-3 hours per assessment. Will complete…
In conjunction with the PCP member member’s family and other pertinent members of the Interdisciplinary Care Team (IDT) CM completes a comprehensive assessment and develops a Person Centered Service Care Plan utilizing…
test test Advantages of this Opportunity: Competitive hourly pay above regional average at $16-$17/hour! Longterm stability and individual professional growth potential from a national Healthcare company that continues…
Daily Responsibilities: Will be taking inbound calls and processing premium payments. Respond to high volume of inbound calls daily, 50-60 calls from members and providers Achieve individual performance goals as it…
Need someone with talent and can tolerate high volume of production work. Can assist with art direction and branding. Need to be PROFICIENT with the various graphic design software solutions that the market demands.…
Census Development In today’s competitive market, maintaining census and occupancy as care patterns change is a crucial aspect of your facility’s success. Why? Census development drives revenue. Also, because…
Are you an experienced Behavioral Health Case Manager looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you…
Daily Responsibilities: Perform duties to conduct and manage the day to day operations of the case management functions communicating with departmental and plan administrative staff to facilitate daily department…
Daily Responsibilities: Telephonic position Working with pregnant women and new mothers (can follow mothers’ care up to about 2 years after birth)Develop, assess and adjust, as necessary, the care plan and promote…
Daily Responsibilities: Position Purpose: Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs and…
Daily Responsibilities of Behavioral Case Manager: Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify…
are aggressively seeking a Healthcare Analyst ( HEDIS ) to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help. Take advantage of flexible…
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