@Career, February 2007 ...
8. Medical Claims Examiner (Facility & Physician) 9.
Senior Provider Service Representative 10. ... . Medical
Claims Examiner (Facility & Physician) Want a great
career opportunity that ...
service to clients and their families, physicians and other
members of the health care delivery system. Complex Case
Management Location: So. California Conducts telephonic or
facility based case management in a collaborative process of
assessment, planning, facilitation and advocacy for options
and services. Telephonic Case Management: Selects
appropriate cases to open by screening from internal or
external referral sources and applying criteria for opening
cases consistently. Builds effective relationships with
members and other internal and external partners by using
excellent verbal and written communication skills,
developing trust, meeting timelines, respecting cultural
differences, using active listening skills, and maintaining
confidentiality. Q.I. Specialist Location: So. California
Quality Improvement experience in a managed healthcare
health plan setting, experience in the oversight audit
process, facilitating quality/process improvement
teams/groups, ... www.mcol.com/career.htm - 77 kB
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