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Education/Certification. Maintains communications with Medicaid Managed Care Plans as needed. Proficient in MS Office products, including word and excel....
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Education/Certification. BA:. As an integral member of the multi-disciplinary team, you will communicate and collaborate extensively with other members of the...
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EOE. Route calls to the appropriate department/personnel. Strong verbal and written communication skills....
Performs preauthorization behavioral health record review, including the application of medical necessity criteria and identification of potential quality of...
Performs preauthorization medical record review, including the application of medical necessity criteria and identification of potential quality of care...
Maintaining client’s privacy, confidentiality and safety as well as acting as an advocate for the covered member....
Maintaining client’s privacy, confidentiality and safety as well as acting as an advocate for the covered member....
Monitor all data entry, file documents and reports related to the review components of this children’s mental health program working collaboratively with the...
Manages and coordinates the daily operations of the medical management unit. Maintains current knowledge of regulations regarding prior authorization, medical...
Maintaining client’s privacy, confidentiality and safety as well as acting as an advocate for the covered member....
Maintaining client’s privacy, confidentiality and safety as well as acting as an advocate for the covered member....
Baton Rouge, LA 70809
Establish software delivery processes and standards to meet organizational needs. Works with scrum master to design and implement scrum process including the...