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Evaluation of Members: -Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
$19.52 - $42.91 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Minimum of 3- 5 years of recent acute care and/or home health nursing or case management experience required. Previous utilization review experience strongly preferred. Performs clinical review of patient records to evaluate the utilization of acute care services.
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Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.
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Here at CGS, we are seeking an entry-level Document Management Analyst/ General Clerk to facilitate the case closing process and data archiving of Federal Records material. May assist with case management activities on an as-needed basis.
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Communicates daily with appropriate parties for prior approval on patient accounts (case management or nurses at doctor's offices). Provides excellent customer service by adhering to quality standards and case management/confidentiality policy and procedures.
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This Project will provide intake, assessment and development of an Employability/Service Plan (ESP) plus case management of participants along with job development, placement, & retention services.
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Requires hands-on familiarity with the Government's office and network environment, including but not limited to, data processing environments, including office automation networks, PC-based databases and other applications, internet and server-based databases and other applications, such as Oracle, Relativity or other document review platform, Trial Director, etc or similar applications/databases.
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Evaluation of Members: Using care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
ExpandApply NowActive JobUpdated Yesterday
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