Job Details
- Coordinates utilization review s of managed care contracts using established guidelines and processes.
- Ensures all clinical operations comply w with Medicare and Medicaid guidelines and other managed care policies.
- Communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization.
- Maintains managed care contracts and information databases and prepares reports.
About us :
At MedCadre , we’re dedicated collaborators, bridging the gap between top-tier professionals and healthcare organizations that prioritize excellence. By fostering transparent communication and leveraging deep industry expertise, we build enduring partnerships rooted in trust.
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