Your Role The Medical Care Programs team is responsible for managing programs and partnerships that support members with their health care, drive savings, and improve quality. The Program Coordinator, Experienced will report to the Senior Manager. In this role
Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior LVN, Care Manager, will
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The
Job Title Pay Range: $32.85hr - $37.85hr Requirement/Must Have Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business. PC literate, including