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Cerritos, California
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services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of
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CERRITOS, California
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Clinical Operations Associate Medical Director
Sleep Medicine
**Carelon ... platform delivers significant cost-of-care savings across an expanding set of clinical domains, including
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Cerritos, California
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clinical judgment to assess member needs to ensure access to medically necessary quality behavioral ... Sign-on Bonus: $3,000
The Behavioral Care Manager II is responsible
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CERRITOS, California
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clinical judgment to assess member needs to ensure access to medically necessary quality behavioral ... Sign-on Bonus: $3,000
The Behavioral Care Manager II is responsible
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CERRITOS, California
...
.
The Behavioral Health Care Manager I is responsible for performing case management telephonically and ... appropriate screening criteria knowledge and clinical judgment to assess member needs.
Conducts
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CERRITOS, California
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diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and
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CERRITOS, California
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services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of
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CERRITOS, California
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State, California, Idaho, or Utah.**
The Behavioral Health Care Manager II is responsible for ... impact:**
Uses appropriate screening criteria knowledge and clinical judgment to assess member
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CERRITOS, California
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of top-tier clinical quality management programs for multi-state Medicare and Medicaid markets within ... quality-enhancement campaigns (HEDIS) and launch initiatives that support STARS improvement. Your
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CERRITOS, California
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members total health needs and ensures the highest quality of continuity of care.
**How you will ... .
Reviews Home based services for clinical appropriateness of the continued care.
Performs reviews
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CERRITOS, California
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subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting the resolution of outstanding issues.
**Minimum Requirements
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CERRITOS, California
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subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting the resolution of outstanding issues.
**Minimum Requirements
...
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CERRITOS, California
...
subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting the resolution of outstanding issues.
**Minimum Requirements
...
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CERRITOS, California
...
subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting the resolution of outstanding issues.
**Minimum Requirements
...
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CERRITOS, California
...
and serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting the resolution of outstanding issues
...
