Wraparound Care Coordinator Wraparound youth services program Our High-Fidelity Wraparound program works with youth aged 12-20 with a diagnosed mental health disorder and/or developmental delay who are involved with the Juvenile Justice system. Wraparound provides comprehensive, holistic, youth
Insurance Sales Representative At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years, our innovative drive has kept us a step
Sales Team Leader (Remote) – Globe Life American Income Division | Zuzick Organization Are you a motivated sales professional ready to step into leadership? Globe Life American Income Division: Zuzick Organization is seeking a driven Sales
About Quora: Quora’s mission is to grow and share the world’s knowledge. To do so, we have two knowledge sharing products: Quora: a global knowledge sharing platform with over 400M monthly unique visitors, bringing people together
Utilization Review Nurse Join Martins Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of people caring for people, Martins
Essential Duties and Responsibilities - Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations -
Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and supports, eligibility, level of
Essential Duties and Responsibilities: - Facilitate the development of cross-line-of-business solutions by combining knowledge of business capabilities, value streams, and business processes. Consult with technical subject matter experts to develop technical solutions and advise on options,
Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals, denials or recommendations based on contract
Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are predominantly routine, but may require deviation
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organizations coding procedures and standards. - Accurately enter coded data in a system and validate data entered.
Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and supports, eligibility, level of
Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are predominantly routine, but may require deviation
Essential Duties and Responsibilities: - Facilitate the development of cross-line-of-business solutions by combining knowledge of business capabilities, value streams, and business processes. Consult with technical subject matter experts to develop technical solutions and advise on options,