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Performs preauthorization behavioral health record review, including the application of medical necessity criteria and identification of potential quality of...
Provides initial intake review for Behavior Analysis services to determine if all required documents have been received....
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Healthcare spending or reimbursement accounts such as HSAs or FSAs. These alternative care plans will be based on quality care within cost containment...
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Interpreting individual health plans and authorizing/coordinating care in accordance with plan provisions. These alternative care plans will be based on quality...
Provides courteous and prompt service to all internal and external customers. Prioritizes and addresses requests and assignments in a professional manner to...
Interpreting individual health plans and authorizing/coordinating care in accordance with plan provisions. These alternative care plans will be based on quality...
Responsible for reviewing desk-based medical record, first-level review of assessments for individuals. The employee is occasionally required to stand and walk...
Denver, CO 80203 (Capitol Hill area)
Responsible for meeting contractual review performance activities. Allocates incoming work volume....
Interpreting individual health plans and authorizing/coordinating care in accordance with plan provisions. These alternative care plans will be based on quality...
Pre-Certification of inpatient and outpatient medical services, including behavioral health services using state medical necessity criteria, including...
Route calls to the appropriate department/personnel. Listen and type accurate information into a telephone database. EOE....
Working with the patient and their family to create a comprehensive, individualized plan of care to meet all health related goals....
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