| |
|
| |
( DELAWARE
, Other Cities
)
|
| |
|
| |
|
| |
IT Consultant
|
| |
|
| |
Health Care Services Associate (LPN)
|
| |
( MISSISSIPPI
, Other Cities )
|
| |
Job
Description : |
| |
Manages cases to discharge and/or referral.
? Regularly interacts with Third Party Administrators to exchange certification information.
? Identifies potential cost savings within a health plan’s coverage. Acts upon cost savings in instances when services would not be sacrificed by doing so.
? Adheres to URAC standards for programs which ACS is currently accredited.
? Participates in quality improvement strategies by assessing individual and employer satisfaction of programs. Identifies and addresses quality issues.
? Obtains/maintains knowledge of Federal, State and Local funding and community resources available to patients and their families.
? Participates in continuing education (internal and external providers) in order to maintain clinical expertise.
? Conducts research as appropriate, to obtain/maintain knowledge of cultural differences including socioeconomic factors, cultural traditions, and spiritual beliefs.
? Assists in the implementation and adherence to policies, procedures, and new programs related to Utilization Management and Quality Improvement.
? Collaborates with other departments to promote coordination and communication within the Company regarding integration of administrative activities, quality improvement, and clinical operations.
? Ability to read and interpret Summary Plan Documents and other related resources relating to services requested.
? Performs all activities within the scope of licensure, certification, and Federal & State laws.
|
| |
| |
Job
Type :
Not available |
| |
| |
Job
Category :
Software/Hardware/EDP |
| |
| |
Pay
Rate :
As Per The Company Norms |
| |
|
| |
Skills
Required : |
| |
Health Care Services Associate (LPN) |
| |
|
| |
Qualification
: |
| |
Not Available |
| |
|
| |
Career
Level :
Middle Management |
| |
|
| |
Experience
:
Minimum 5 Years-Maximum 6 Years
|
| |
|
| |
Other
Informations : |
| |
Not Available
|
| |
|
| |
|
| |
Contact
Information : |
| |
recruiter
ACS inc
Phone: (999) 999-9999
Web: https://acs71.recruitmax.com/MAIN/careerportal/Job_Profile.cfm?szOrderID=52205
|
| |
|
| |
Reference : |
| |
Not Available
|
| |
|
| |
Reference ID:
Not Available
|
| |
|
| |
|
| |
|
