variances, system issues, and process gaps;recommend corrective actions. · Collaborate with the Claims Management team...
Under the direct supervision of the Lead Case Management Coordinator and the RN, Clinical Supervisor, the Case Management... as directed. · Logged into Case Management Phone queue · Assists with the Case Management Right fax distribution · Retrieves...
Benefits: 401(k) 401(k) matching Dental insurance Health insurance Vision insurance Wellness resources (Hybrid, Sherman Oaks) Summary The reporting coordinator is responsible for ensuring accurate, timely, and efficient report...
and management. Record events and problems and their resolution in Track‐IT and tracking log sheets. Timely follow‐up... as requested by management Minimum Job Requirements Minimum 3 years’ experience as an applications specialist, analyst...
in Project Management/Business Analyst with strong analytical, documentation, and implementation skills Proficient in Microsoft... Project or other project management tool capabilities are a plus Skills and Abilities: Able to exercise independent...
Benefits: 401(k) 401(k) matching Dental insurance Health insurance Vision insurance Wellness resources Summary: The Outstanding Resolutions Liaison assists in the processing and reconciliation of outstanding resolutions and retu...
Prioritizing SNP & CMC members and endorsing those patients to Case Management Sorts the discharges and arranges post discharge... Prioritizing SNP & CMC members and endorsing those patients to Case Management If access issue to PCP is identified (Member...
Benefits: 401(k) 401(k) matching Dental insurance Health insurance Vision insurance Wellness resources Summary: The AP-Clients Specialist reports directly to the AP-Clients Supervisor and is responsible for full-cycle accounts p...
by management in a courteous and efficient manner, including offering a proactive approach to suggestions and recommendations 8...
on CCS eligibility review and effectively collaborating with Outpatient UM and Ambulatory Case Management Team as necessary...