include: Preparing/cleaning up after a meal Assist clients with activities of daily living. Ambulatory Care Basic home...
and works to identify providers, specialist, and/or community resources needed for long-term care Coordinates as appropriate... needs Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs...
manage the benefit needs of inbound callers from start to finish, while delivering excellent patient-provider care.... RESPONSIBILITIES Accept a daily average of 100-125 inbound calls from Health Plan clients, providers , and imaging cent ers seeking...
and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Builds relationships that nurture provider... complex and/or escalated issues. Manages key provider relationships and is accountable for critical interface with providers...
assessments A ssist in development of care plans and coordination of care. Assist in implementing physician orders and order... effectively to providers and all departments to resolve issues. Set up all members for procedures, exams and obtains vital...
adjustment and stars related annual metrics. This role will work directly with providers to assist in achieving accurate... and complete coding documentation and addressing Stars gaps in care. The role will work under the direction of Risk Adjustment...
of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers... solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in...
: 2+ years of experience with clinical nursing experience in home health, hospice, managed care or case management...Urgent Hiring for RN Case Manager in Mc Allen, Texas *Must be located in Mc Allen, Texas...
The experienced MA provides front assistance to the providers in the preparation for, examination and treatment... as needed. Evernorth Direct Health is an industry leading business providing custom care delivery and wellness services across four key...
by consumers (members) and physicians/providers was processed and determine why it was denied Identify and obtain all additional... applications, templates, communication process, etc. Communicate appeal information to members or providers with the...