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Health Care Service Corporation-Richardson, TX, 75080
413221 - Location: Richardson, TX Education Required: Not Indicated Experience Required: At least 2 years Position Description: BASIC FUNCTION: This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs for chronic or catastrophic cases to provide medically necessary, cost effective services; consulting with physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implementation, coordinate, monitor and evaluate options and se...
Case Coordinator Jobs in Richardson, Texas Jobs
Health Care Service Corporation | Richardson, TX, 75080 | 3
413221 - Location: Richardson, TX Education Required: Not Indicated Experience Required: At least 2 years Position Description: BASIC FUNCTION: This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs for chronic or catastrophic cases to provide medically necessary, cost effective services; consulting with physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implementation, coordinate, monitor and evaluate options and se...
Health Care Service Corporation Jobs
Health Care Service Corporation | Chicago, IL, 60601 | 9
Location: Chicago, IL Education Required: Not Indicated Experience Required: Not Indicated Position Description: BASIC FUNCTION:This position is responsible for managing administrative support for Medical Directors and Health Care Management in addition to leading the planning, directing and coordination of activities between Medical Management, HCM Research & Analytics, HCM Quality & Research, Pharmacy and all areas of HCSC on health care management focused projects and enterprise projects. The Health Care Management project responsibilities include leading multi-disciplinary project teams...
Health Care Service Corporation | Chicago, IL, 60601 | 3
Location: Chicago, IL Education Required: Not Indicated Experience Required: Not Indicated Position Description: BASIC FUNCTION: 1) This position is responsible for completing, adjusting, and verifying all lines of business experience reports; assisting in the maintenance of the payment system and collection of provider contractual allowances; handling provider inquiries concerning calculation of contractual allowances; contacting healthcare providers to resolve collection of contractual allowances; and reconciling difference of contractual allowance balance between Provider Contracts and F...
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