. As a vital part of our managed care team, you will: Review and evaluate medical or behavioral eligibility regarding benefits...
guidelines. Identify and make referrals to appropriate staff such as Medical Directors, Case Managers, and Quality of Care... medical necessity criteria and contract benefits. Collaborate with BCBSSC Care Management and other areas to ensure proper...
Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participate in data collection...), and DOL (Federal). Participate in direct intervention/patient education with members and providers regarding the health care...
in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers... and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American...
in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers... and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American...
in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers... and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American...