as an Employer As an organization, Napa County is dedicated to improving the lives of our citizens and reflecting the best of the..., website content), maintaining accuracy, accessibility, and compliance with DHCS and managed care standards. Develops trend...
and maintenance Assist with the review of commercial medical policy meeting minutes to update Medicare Policies...: Experience in Medicare and managed care health insurance medical policy. Strong written communication skills: ability to write...
, please review this . CORE JOB SUMMARY The Assoc. VP, Business Applications manages the life cycle planning of key health system.... Some of our application delivery work is managed as products, regardless of whether the customer is internal or external. The Assoc. VP...
using care management tools and information/data review -Coordinates and implements assigned care plan activities... and monitors care plan progress -Conducts multidisciplinary review to achieve optimal outcomes -Identifies and escalates quality...
security controls as well as Department of Veterans Affairs (VA). Together, we’re building a secure future of managed services... of an organization Outstanding written and verbal communication skills with the ability to present to business leaders Must be able...
reconciliation with the CRM/CPM. In charge of archiving the TMF Be responsible for follow- up and review of financial documents..., goods receipt & invoices), if not managed by a dedicated position within the team Create and follow-up of the clinical...
with clients and stakeholders. The ideal candidate will have a background in claims management, preferably in medical malpractice... claims to set reserves, make appropriate payments, and ensure accurate documentation of all activities. Review large data...
, techsavvy Case Management Coordinator to join our Case Management team. Our organization promotes autonomy through... activities with members to evaluate the medical needs of the member to facilitate the members overall wellness. Case Management...
status, medical urgency, and other patient billing/ insurance issues. Thorough understanding of how to identify if charges... are correct. In depth understanding of what information is available to assist in the process, such as the medical record, chart...
appeal request forms timely prior to CRM nurse appeal letter submission. 7. Coordinates payor and managed care organization... electronic medical records. SPECIAL SKILLS Excellent communication and organization skills. Ability to adapt to varying...