and community-based services (HCBS) denials submitted by Community HealthChoices Managed Care Organization (CHC-MCOs). Review... but not limited to Outlook, Teams, Word and Excel Long-term care experience is preferred Experience with reviewing medical records...
of healthcare and insurance forms and collecting payments for services. Gains confidence and cooperation from the patient... patient care. May also be responsible for performing specific tasks and/or orient other staff to the department...
condition and care, medical consenter, or caregiver, Department of Family and Protective Services caseworker and family... Experience with Care Management or Services Coordination with a managed care company is highly preferred Bilingual in English...
an efficient/ timely manner. Perform in house and on-site reviews and recipient interviews to verify/assess the medical care... course of the reviews by writing memoranda, letters, and reports as indicated in order to provide care findings...
and evaluating the medical necessity, appropriateness, quality, quantity, and adequacy of medical care and services rendered... of services rendered by providers of outpatient services by conducting X-ray and/or record reviews, on-site visits, recipient...
for intensive in home and community-based services (IHCBS), for at risk youth in District of Columbia. In August of 2017... underserved population. Job Description 1. Leadership and Team Supervision Supervise and support wraparound care coordinators...
care plans that address mental health, education, physical health, and social needs. Coordinate services across various... for intensive in home and community-based services (IHCBS), for at risk youth in District of Columbia. In August of 2017...
. Services are monitored for medical necessity and quality of care. Verifying that services ordered were rendered... that identify and impact health care services delivered to MA recipients and paid for by the MA Program. Attend in-service...
Job Description Summary: Always Best Care Senior Services in Alexandria, Virginia is seeking a Registered Nurse..., preferred; About the Company: Always Best Care Senior Services is a leading provider of in-home care and assistance...
such as recreation, work and personal care. These are only a few of the services our Host-Home Providers can offer by working...Stellar Care Host-Home Provider The primary goal of a Host-Home Provider (Independent Contractor) is to provide the...