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Confidential
A company is looking for a Medical Coder - PRN. Key Responsibilities Verify and ensure the accuracy and completeness of diagnosis codes based on services rendered Review medical record information to identify appropriate coding based on CMS HCC...
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 Learning & Development Coordinator. Key Responsibilities Train staff on revenue cycle processes, medical coding, and administrative skills Evaluate trainee progress and collaborate with stakeholders on...
Confidential
A company is looking for a Transitions of Care Nurse (RN or LPN). Key Responsibilities Serve as the primary clinical resource for members discharging from inpatient acute medical facilities Coordinate and manage transitions of care for assigned...
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A company is looking for an RN Quality Improvement Coordinator. Key Responsibilities Develops and implements the annual Quality Improvement Program in collaboration with the Medical Director and PACE Program Director Coordinates quality...
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A company is looking for a Utilization Management Technician for weekends and off hours, working remotely. Key Responsibilities Coordinate, generate, and track incoming and outgoing correspondence, faxes, and authorizations related to...
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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...
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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...
