and related applications and familiarity with data base applications. Knowledge of California Medi-Cal program and benefits, TAR... policies and regulations as defined by Partnership and DHCS. Typing speed of 40 wpm and knowledge of general business office...
office machines operations. Valid California driver’s license and proof of current automobile insurance compliant... with Partnership policy are required to operate a vehicle and travel for company business. Performance Based Competencies Effective...
to HealthPlan members referred to the Care Coordination Department for Case Management services and programs. The Health Care Guide... about available Partnership programs and information. â–ª With direction, initiates and processes referrals to appropriate programs in accordance...
office machines operations. Valid California driver’s license and proof of current automobile insurance compliant... with Partnership policy are required to operate a vehicle and travel for company business. Performance Based Competencies Effective...
, Partnership Claims Operating Instruction Memorandums, State of California Medi-Cal Provider Manual guidelines, Title 22... Report. - Routes claims to appropriate Partnership departments and internal staff for additional review. Follows up...
compliance with established criteria and Partnership benefits. Responsibilities: Provides day-to-day direction to Utilization... to the Director of Utilization Management as requested. Assists Partnership staff and providers with the interpretation...
Partnership audiences of all levels. â–ª Provides guidance and education on departmental contacts, resources and information.... All HealthPlan employees are expected to: Provide the highest possible level of service to clients;Promote teamwork...
, external clients, and vendors. Valid California driver’s license and proof of current automobile insurance compliant... required, ability to move, carry, or lift objects of varying sizes, weighing up to 25 lbs. All HealthPlan employees are expected...
. All HealthPlan employees are expected to: Provide the highest possible level of service to clients;Promote teamwork... and cooperative effort among employees;Maintain safe practices;and Abide by the HealthPlan’s policies and procedures, as they may...
focus group meetings and in-services. - Follow established Partnership policies and procedures, Partnership claims... from all Partnership claim types and in any form (paper or electronic) within established standards. This will include electronic...