General Summary of Position
This position reports to the office 4 days a week with a schedule of 8 : 30A - 5 : 00P
Coordinates, negotiates, procures and manages care of our members / enrollees to facilitate cost effective care and members / enrollees satisfaction.
Facilitates the continuum of care, works collaboratively with interdisciplinary staff, internal and external to the organization.
Responsible for carrying a complex case management case load, ownership of a case management program(s), pre- authorization reviews to provide Medically Necessary, timely and quality health care services in the most cost-effective manner and pharmacy reviews per population served.
We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.
This position has a hiring range of $CUSTOM.SALARY.MIN - $CUSTOM.SALARY.MAX
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