of the CMS program. Adhere to CMS service matrix and documentation standards to ensure authorizations for services..., and care coordination with health care providers and vendors. Educate and connect families with available community resources...
of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal... provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving...
of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal... provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving...
of ways.. Job Responsibilities Coordinate monthly CMS neurology clinic by working closely with contracted providers... to CMS service matrix and documentation standards to ensure authorizations for services are appropriate and allowable...
health. In its evolved customer engagement model, a Hospital Specialist engages healthcare providers (HCPs) using in-person... with local healthcare systems, identifying opportunities to enhance the patient experience. This matrix model ensures coordinated...
overall IT roadmap development Liaise with vendors and third party providers to assess and integrate external technologies... with the ability to work seamlessly across a matrix organization and partner with global development teams Ability...
Medical Director to plan and conduct weekly meetings for the Medical Respite providers. Providing direct patient care... as a liaison between clinical staff and the BHCHP IT department with respect to helping staff navigate EPIC and Matrix Care issues...
/ caregivers, clinical support staff, clinic providers, and community resources in a team approach, supports the patient’s ability... managers, providers, and members to support comprehensive communication and education. Ensures documentation reflects clinical...
manager and direct service providers to arrange appropriate clinical services, including onsite services. Work closely... with EAP providers. Educate EAP providers regarding EAP protocols and expectations, and monitors compliance to standards...
, and aligned with ODM & NCQA expectations Coordinate and collaborate with members, providers, local and state government... and their providers, developed collaboratively with other ODM-contracted managed care entities to have a collective impact...