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Care Manager (RN/LPN)(PCS) - Utilization Management Job Ref: 106457 Category: Utilization Review and Case Management Department: UTILIZATION MANAGEMENT Location: 50 Water Street, 7th Floor, New York ...
Provide first-level support for end-users, including PCs, Macs, printers, and access control systems. * Implement and maintain IT policies for data security and system reliability. * Coordinate ...
Handles both incoming and outgoing calls on the MLTC/PCS ACD * Schedule appointments for Care management staff * Maintain files on members and tracks status of membership * Liaison between MetroPlus ...
Responsible for ensuring that all PCS Scope of service, Philosophy of Nursing and Ethical standards are met while delivering patient care. Oversees patient care area to ensure clinical needs ...
... PCS, coding conventions and rules. • Demonstrated experience with coding and claims processing systems. • Demonstrated ability to apply critical review judgment to make relevant clinical ...
As catastrophe needs arise throughout our claims organization, the PCS will serve as an initial responder for catastrophe claim events within the various regions. * Responsible for all coverage ...
A+ Certification Required * 2 years of experience in the use and repair of PCs, laptops, printers, smartphones, and other computer peripherals * Use and installation of Microsoft Office 365 and ...
Responsible for ensuring that all PCS Scope of service, Philosophy of Nursing and Ethical standards are met while delivering patient care. * Oversees patient care area to ensure clinical needs ...
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