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Confidential
A company is looking for an RN Specialist Complex Case Manager. Key Responsibilities: Engage with members, families, and providers to manage complex medical cases and develop comprehensive care plans Conduct clinical assessments and collaborate...
Confidential
A company is looking for a Medical Assistant / Case Management Processor. Key Responsibilities Perform initial triage of Case Management tasks and review member data for care plan implementation Make outbound calls and send follow-up emails to...
Confidential
A company is looking for a Senior Analyst, CareTeam. Key Responsibilities Manage invoice and billing processes for CareTeam operations, ensuring accuracy and timely processing Establish vendor relationships and identify opportunities for...
Confidential
A company is looking for a Utilization Review Nurse - LPN (Remote). Key Responsibilities: Conduct concurrent and continued stay Utilization Management reviews, ensuring accurate data tracking, evaluation, and reporting Lead or participate...
Confidential
A company is looking for a Utilization Management Nurse (MLTC Focus) to perform clinical reviews for Managed Long-Term Care members. Key Responsibilities Conduct standard and expedited UM clinical reviews for inpatient, outpatient, and custodial...
