on CCS eligibility review and effectively collaborating with Outpatient UM and Ambulatory Case Management Team as necessary...
variances, system issues, and process gaps;recommend corrective actions. · Collaborate with the Claims Management team...
Benefits: 401(k) 401(k) matching Dental insurance Health insurance Vision insurance Wellness resources Summary: The AP-Clients Specialist reports directly to the AP-Clients Supervisor and is responsible for full-cycle accounts p...
team and management · Inform management of recurring problems · Other special projects as requested Minimum... and external users · Ability to interact with various levels of management and users · Proven ability to take initiative...
Summary Under the general direction of the Provider Database Management & Rates Configuration, Sr Supervisor, the Rates... to the department leadership and HIT teams · Assist PNO Network Management team and Field Representatives with provider...
daily bed day reports with the Medical Directors. Refers potential readmissions to Outpatient High Risk Case Management... Job Requirements Current RN or LVN licensure;Preferred: BSN level of education. Working knowledge of case management philosophy...
Summary Under the direct supervision of the Leads & RN Clinical Manager for Case Management, the RN/LVN Case Manager.... · Participates in the Interdisciplinary Care Team (ICT) (as needed)/ Case Management (CM) Meetings/IPA Rounds as they relate...
Under the direct supervision of the Lead Case Management Coordinator and the RN, Clinical Supervisor, the Case Management... as directed. · Logged into Case Management Phone queue · Assists with the Case Management Right fax distribution · Retrieves...
effectively · Critical thinking and problem-solving abilities MedPOINTManagement, a large MSO in the San Fernando Valley... Management (a plus) · Knowledge of Health Plan Provider Network oversight and audit processes (a plus) · EZ-CAP knowledge...
other tasks as assigned by supervisor/manager · Adhere to MedPOINTManagement’s core value: Accountability, Community... and issues, as needed. Suggests process improvements to management and is a resource of information to all staff. Duties...