- Sharp HealthCare (San Diego, CA)
- … Coordinator , under the direct supervision of the Supervisor, Utilization Management Care Coordinators, prepares referral requests for outpatient services, ... the SCMG operation documents as appropriate for approval at the UM Care Coordinator level of review.Appropriately identify claims for review by the Medical… more
- Sharp HealthCare (San Diego, CA)
- …topics as requested by Pharmacist.Provides back-up support to MTM Care Coordinator . Observes Sharp Community Medical Group ( SCMG ) policies and procedures. ... + This position requires a thorough understanding of the functions of Managed Care including HMO/PPO and ACO eligibility, claims, utilization management and the… more