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Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Description This role is a full time medical receptionist role in Port St. Lucie, FL. Responsibilities Job Description Summary The Receptionist 1 receives and correctly routes incoming and outgoing telephone calls ..
Description Responsibilities Medical Receptionist Job Description Summary The Receptionist 1 receives and correctly routes incoming and outgoing telephone calls and accommodates visitors so that all callers/visitors are attended to promptly, courteously, ..
Description The Compliance (UM) Professional 2 conducts and summarizes compliance audits. The Compliance (UM) Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
... monitoring and evaluating the case management plan against the member's personal ... 6 years of Health Services/Case Management Experience Prior experience with Medicare ... work Monday-Friday 8:30am-5:00pm Preferred Qualifications..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
... monitoring and evaluating the case management plan against the member's personal ... 6 years of Health Services/Case Management Experience Bilingual English/Spanish with ability to pass ... or long term..