Search Results: 11 vacancies
...Workflow
* Microsoft Office (Outlook, Word, Excel, PowerPoint)
* Availity
* NICE InContact
* Workbench
* Prime RxClaims
* TruCare
About Us
We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health...
Suggested
Full time
Remote job
Work from home
Flexible hours
Shift work
...) regulations.
Receives and responds to incoming Care Coordination inquiries from all communication venues: e.g. phone queue, TruCare, portal, claim queue, department e-mail box or Rightfax.
Coordinates and assists in monitoring of documentation Care Management...
Suggested
Full time
Remote job
Home office
Shift work
Monday to Friday
...by the call center to assist external and internal customers including but not limited to Healthsuite; QualitySuite; CiscoFinesse; TruCare; PerformPA; RxNova; Darwin, Calabrio; Hanna/Cyracom-InterpreterServices appointment Scheduler; delegate portals, etc.
Maintain and...
Suggested
Remote job
...Preferred Qualifications:
Experience in a physician's office, clinical or hospital setting
Working knowledge of EMR and TruCare
Bilingual (English/Spanish) language proficiency
Previous experience working in a call center type environment
Full...
Suggested
Holiday work
Temporary work
Local area
Monday to Friday
...assisted living facilities according to visit schedule.
· Complete assessments, create and revise care plans, documentation in EHR (TruCare).
· Contact providers, members, family members as needed to complete aforementioned assessments, care plans and relevant...
Suggested
Hourly pay
Full time
Immediate start
Remote job
Monday to Friday
$19 per hour
...telephonically
Answer incoming calls from members or Centene associates.
Create Case, Create Tasks, Create Referrals in member's chart in TruCare
Complete screenings in TruCare
Filter Excel Spreadsheet
Utilize Outlook Calendar for daily planning.
Document in...
Suggested
Permanent employment
Contract work
Temporary work
Remote job
Offshore
...Purpose: Conduct and manage the daily operations of the case management function
* Must be an RN * Must know Managed Care * Must know TruCare and how it works
Ensure successful transition of care for members from case management to the utilization management
Review...
Suggested
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...needs and transitions
Conducting telephonic assessments and may conduct face to face member visits to assess members utilizing TruCare Assessment Tools
Maintaining member records- including but not limited to adhering to CMS regulatory requirements, documentation...
Suggested
Full time
Second job
Local area
...CMS) regulations
Receives and responds to incoming Care Coordination inquiries from all communication venues: e.g., phone queue, TruCare, portal, claim queue, department e-mail box or Rightfax
Coordinates and assists in monitoring of documentation Care Management...
Suggested
Full time
Work experience placement
Monday to Friday
...Data Management, Member Enrollment, Care Management, HEDIS, Population Health, and Billing
Having experience with tools Pega, TruCare, and Cotiviti QualInt is an added advantage
The ideal candidate will have:
At least 10+ years of Business Analysis...
Suggested
Full time
Work experience placement
Immediate start
Remote job
...regulatory standards.
Enters, researches, investigates, and documents all authorizations from receipt to notification into QNXT and/or TruCare for all product lines.
Approves authorizations when the authorization meets the criteria listed in the appropriate Prior...
Suggested
Full time
Local area
