Valor Healthcare Opportunity Valor Healthcare is a veteran- and physician-led provider of healthcare services for deserving, resilient patriots including those who serve or have served in the military as well as those who devote their careers
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: - Supervise the workforce management team and workflow to support management in all aspects of the workforce function within the project. - Create and maintain workforce monitoring schedules for team members to
Essential Duties and Responsibilities: - Works on assignments that are routine in nature, with responsibilities easily learned on the job. - Monitor call volume and staffing data to ensure workers are performing in accordance with established quality
Essential Duties and Responsibilities: - Works on assignments that are semi-routine in nature but recognizes the need for occasional deviation from accepted practice. - Follow procedures and directions to assess the quality of service provided through
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
