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Summary of Job Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department. Ensure accurate....
EmblemHealth
Clinical
Summary of Job Responsible for the day-to-day operation and performance of the care management team providing care management services to...
EmblemHealth
Clinical
Summary of Job Responsible for overseeing the day-to-day operations of the Grievance and Appeal Specialists, ensuring adherence to department...
EmblemHealth
Operations
Summary of Job Process disputes submitted by contracted and non-contracted providers. Types of correspondence handled by the individual will include,....
EmblemHealth
Operations
Summary of Job Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or...
EmblemHealth
Clinical
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