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Description The Utilization Management Nurse uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
Description The Care Management Support Assistant 2 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pending inquiry. Understands department, segment, and ..
Details Department: Rehabilitation Services Schedule: Full-time days Hospital: Ascension St. Alexius Location: Hoffman Estates, IL Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term ..
... monitors and evaluates the case management plan against the member's personal ... comprehensive assessment of elderly population, healthcare, care management, working with Medicare/Medicaid recipients, and ... in health care..