- Centene Corporation (Sacramento, CA)
- …external partners (hospitals, vendors, physician groups, internal departments ( CM , UM , Analytics, etc.) + Education about Palliative Care /Hospice, symptom ... and health care providers to ensure optimal care and support. The coordinator will act...program benefits and communicate member needs + Participate in UM and CM clinical rounds to identify… more
- Blue KC (Workman, MN)
- …hire date. + Intermediate level keyboarding skills + Intermediate level knowledge of FACETS UM , CM and claims applications. + Experience in working with Health ... across the seven domains of health and develops and implements individualized care plans with appropriate interventions in a culturally sensitive way. Uses… more
- Ellis Medicine (Schenectady, NY)
- …or send for insurance denials or quality improvement organization appeals. + Assists UM Coordinator with data entry of insurance authorizations and denials. + ... to transition patients across the healthcare continuum in conjunction with Case Managers ( CM ) or Social Workers (SW). The Discharge Planner's primary function is to… more