in accordance with federal and state mandates, and credentialing criteria as outlined in the CommunityCare Managed Healthcare Plans...
to their medications via in clinic stock. Assist with monthly onsite visits/inspections of floor stock areas within CommUnityCare..., and communications always represent CommUnityCare in a professional manner. Complete all mandatory training and maintain appropriate...
operations of CommunityCare’s medical claim review program. The Supervisor guides individuals in implementing auditing...
is responsible for the oversight, direction, provision of care management support services provided to patients of CommUnityCare (CUC... for creative approaches to the management of complex patient care within the organization and administration of CommUnityCare...
with all regulatory and accreditation standards including The Joint Commission and CommUnityCare Standard Operating Procedures... and CommUnityCare Policies and Procedures. Develop and maintain favorable internal relationships, partnerships with co-workers...
understanding and sensitivity to the unique needs of the CommunityCare population. This role spends 100% of time on quality program...
of effective and efficient healthcare operations for CommUnityCare. Works in conjunction with the Practice Administrators... and related duties comply with all regulatory and accreditation standards including the Joint Commission, CommUnityCare Standard...
JOB SUMMARY: The Compliance and Risk Management Specialist assists in the ongoing success of CommunityCare... risk tolerance levels, and reports on the status of ongoing monitoring of key controls in support of CommunityCare...
JOB SUMMARY: The Cost Containment Specialist is responsible for ensuring CommunityCare receives appropriate... in claims processing, data entry or medical billing. One year of claims processing experience within CommunityCare...
including The Joint Commission and CommUnityCare Standard Operating Procedures and CommUnityCare Policies and Procedures... CommUnityCare in a highly professional manner at all times. Uphold and ensure compliance and attention to all company policies...