Medical Management Specialist - Execu | Search - Iselin, NJ

Oleh -
Medical Management Specialist - Execu | Search - Iselin, NJ -
A well being insurance firm in New Jersey is trying to fill an instantaneous want with the addition of a brand new Medical Management Specialist to their employees. 08830On this position, the Medical Management Specialist shall be liable for offering nonclinical help to the Medical Management and/or Operations areas. Apply at the moment!

COMPANY DESCRIPTION


Well being Insurance coverage Firm


JOB DESCRIPTION


The Medical Management Specialist:
Gathers medical info relating to case and determines applicable space to refer or assign case (utilization management, case management, QI , Med Assessment)


Supplies info relating to community suppliers or common program info when requested


Critiques and assists with complicated case


Acts as liaison between Medical Management and/or Operations and Inner Departments


REQUIRED SKILLS


1+ yr of expertise with an understanding of Managed Care or Medicare


Excessive Faculty Diploma


Microsoft Workplace/Suite proficient (Excel, Outlook, Phrase, and so on.)


Nice interpersonal expertise


Wonderful communication expertise (written and verbal)


Robust consideration to element


Extremely organized


Capable of multitask effectively and successfully


Desired Expertise


Earlier expertise in Macess , Sides or Care Compass


Familiarity with Medical terminology




APPLY THIS JOB HERE

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