with interdisciplinary staff, internal and external to the organization. Responsible for carrying a complex case management case load..., ownership of a case management program(s), pre- authorization reviews to provide Medically Necessary, timely and quality health...
of Utilization Review /Case Management Our ideal candidate will have 24-hour, 7 days a week responsibility for the operational... and retrieval systems relating to management of medical cases, case coordination, denial management, clinical pathways, utilization...
of Utilization Review /Case Management Our ideal candidate will have 24-hour, 7 days a week responsibility for the operational... and retrieval systems relating to management of medical cases, case coordination, denial management, clinical pathways, utilization...
Provide case management services to EPD Waiver beneficiaries in their homes in accordance with the EPD Waiver... in professional and related organizational meetings, and individual research and reading. Case Management Services Assess the...
for carrying a complex case management case load, ownership of a case management program(s), pre- authorization reviews to provide... and accreditation regulations. Actively develops and manages complex case management cases and develops individualized plans of care...
management case load, ownership of a case management program(s), pre- authorization reviews to provide Medically Necessary... and manages complex case management cases and develops individualized plans of care according to NCQA standards/ guidelines...
Provide case management services to EPD Waiver beneficiaries in their homes in accordance with the EPD Waiver... in professional and related organizational meetings, and individual research and reading. Case Management Services Assess the...
identification, creation, and management of key-account/strategic business relationships with select companies to develop solutions... in operations, engineering and business review meetings Responsible for assessing current opportunities, resources...
in order to provide seamless support to attorneys and case teams nationwide Review paralegal utilization performance monthly... multi-office case management with US Paralegal Manager and regional Paralegal Managers; actively manage national list serves...