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Florida Medicaid covers Behavior Analysis (BA) Services for recipients under the age of 21, eQHealth Solutions as the Quality Improvement Organization...
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Performs preauthorization medical record review, including the application of medical necessity criteria and identification of potential quality of care...
Nature & Scope of Position Answer incoming calls from providers and other external customers inquiries and questions regarding claims, prior authorizations,...
Performs preauthorization behavioral health record review, including the application of medical necessity criteria and identification of potential quality of...
Collaborate with Psychiatric Physician Reviewers affiliated with eQHealth IL regarding assignments of reviews and their determinations....
· Manages and coordinates the daily operations of the medical management unit. · Directs staff performance regarding prior authorization, medical necessity...
Essential Responsibilities Pre-Certification of emergency, urgent and elective admissions and the determination of length of stay based on age, multiple or...
Essential Responsibilities Pre-Certification of emergency, urgent and elective admissions and the determination of length of stay based on age, multiple or...
Directs the patient’s care throughout the health care continuum Assesses, plans, implements, coordinates, monitors and evaluates an individualized plan of...
Responsible for reviewing desk-based medical record, first-level review of assessments for individuals. Responsible for performing CANS assessment. The...
• Directs the patient’s care throughout the health care continuum via activities involving contact with patient, family, physician, all additional health care...
*Positons starting in 2 Regions to begin with: Region 4: Baker, Clay Duval, Flagler, Nassau, St. Johns, and Volusia Region 7: Brevard, Orange, Osceola,...
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Florida Medicaid covers Behavior Analysis (BA) Services for recipients under the age of 21, eQHealth Solutions as the Quality Improvement Organization...
Express apply