. Neighborhood Healthcare PACE is a managedmedical plan built around surrounding participants with a team of physicians, nurses...) community health organization, we serve over 500k medical, dental, and behavioral health visits from more than 100,000 people...
, and inclusiveness. We are an award-winning and industry-leading utilities organization committed to our customers, community interests..., and the environment. To learn more about our organization, please visit our website at . We are proud of our infrastructure...
with other health care professionals, member and/or family Refers cases to medicalreview according to policy and procedure Documents... medical records on site, through remote electronic access, telephonically or by fax in a collaborative effort...
(Required) Work Shift: 1st shift (United States of America) Please review the following job description: The Head of Subservicing... managed by the subservicer, such as collections, loss mitigation, bankruptcy, and foreclosure. 7. Issue Resolution: Address...
Job Description: MedicalReview and Appeals – RN Lead II - BPM Who We Are: UST HealthProof is a trusted partner... all, equitably and effectively. You Are: Perform prospective, concurrent and retrospective review of inpatient, outpatient...
Job Description: Utilization Review RN Lead II – BPM Who We Are: UST HealthProof is a trusted partner... all, equitably and effectively. You Are: UST HealthProof is searching for a highly motivated Utilization Review RN...
and oversight of staff who provide operational support and medicalreview on behalf of Medicare Advantage clients. This position... or managed care environment. One year supervisory or lead experience in insurance or managed care is required · Experience...
(Required) Work Shift: 1st shift (United States of America) Please review the following job description: The Team Coordinator III... to have strong computer skills, attention to detail, and the ability to build partnerships across the organization. They take ownership...
and surface blockers. Works with Senior & Lead Production to ensure features are properly resourced and managed... or other source control tools. Familiarity with build pipelines for downloading builds to self review features. Extensive knowledge...
, Quality Improvement or Quality Assurance, where medical record review, preferably in an HMO or managed care setting... organizationÂ’s current medical management systems, business processes, and workflows to support HEDIS and Quality-related...