Job Description
GENERAL DESCRIPTION
Responsible for ensuring the coordination of quality medical services for members.
EDUCATION / EXPERIENCE -
LPN License required. Minimum one year experience.
JOB TASKS
Responsible for ensuring the coordination of quality medical services for members.
EDUCATION / EXPERIENCE -
LPN License required. Minimum one year experience.
JOB TASKS
- Completes medical audits appropriately
- Maintain effective member/program relations
- Ensure a high level of quality assurance regarding members' medical needs, etc.
- Thoroughly documents all member medical/health issues and situations
- Maintains program operations and facilitates program development
- Cooperate with Agency, legal authorities and Department of Human Services or any part or successor thereof in any inspection or investigation
- Ensures compliance with all required state and federally mandated background and exclusion checks including but not limited to criminal history background investigation (fingerprinting), Central Registry, Child...
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