and eligibility documents are current Meet with supervisor at least on a monthly basis to staff member cases, discuss chart audits...
of assistance cases. Knowledge of the Non-certification process and Appeals process including logs and time frames. Participate... to utilize alternative care settings when appropriate. Identify potential large case management cases by diagnosis, dollar...
and/or independent medical evaluations as required and seeks advice from management, as necessary. Refers cases to LTD Supervisor, LTD...
a no-call, 7a–3p schedule and the stability of a private-practice model. This CRNA position focuses on GI cases...
here to be successful. Responsibilities Summary: The Case Processing Specialist Supervisor provides guidance in the processing of cases, immigration... personnel. Primary Duties and Responsibilities: Lead the Case Processing Specialist in processing cases and performing...
a caseload of participants cases and administering the policies and procedures of the program as directed by the contracting...
cases to medical leadership as appropriate. Ensures appropriate patient selection to maintain program safety, quality...
any concerns or complex cases to program leadership for resolution. Maintain professionalism and empathy while working in high...
of any criteria utilized in a review with the report in a timely manner Returns cases on or before the due date and time Makes... expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services Fully prepped cases...
responsibility for coordination client care, supervision of assigned cases, including assessment, support planning, referral...