- ASM Research, An Accenture Federal Services Company (Harrisburg, PA)
- …call center target metrics + Ensures complete and accurate documentation in case management system (CMS) + Assists direct reports to deescalate callers, navigates ... resources, resolves complex concerns, and assesses and takes action in crisis situations + Demonstrates understanding of military culture and addresses Service members by their rank, thanks Service members and their families for their service, and has… more
- ASM Research, An Accenture Federal Services Company (Harrisburg, PA)
- …+ Conducts audits and reviews using scoring protocols for calls and/or case records using a pre-determined set of criteria, documenting results in a ... detailed report. + Supports data entry and analysis following URAC minimum standards and defined SOPs as specified in the Quality Management Plan. + Maintains and provides all records and reports pertaining to QA documentation. + QA Analysts adhere to and… more
- ASM Research, An Accenture Federal Services Company (Harrisburg, PA)
- …handled according to contractual service standards and document all cases in the Case Management System (CMS). + Performs call follow-up and reporting as assigned. + ... Demonstrates outstanding customer service. + Demonstrates better than average understanding of military culture and addresses Service members by their rank, thanks Service members and their families for their service, and has excellent empathic listening… more
- Sedgwick (Harrisburg, PA)
- …satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple business ... lines; and to provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction through the provision of… more
- Datavant (Harrisburg, PA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... us:** Datavant is a rapidly growing health information technology company with a mission to connect the world's health...for the product lines in your vertical (in this case , the Provider product vertical). That requires you to… more
- CompuCom (Harrisburg, PA)
- …limited to, following and offering suggestions to better improve procedures and policies, case management, case dispatch, entry level technical case review ... tech instructions or suggestions + Follows defined processes on case management + Responsible for the operating activities of...one or more departments and/or branches, and assists the company in relation to policies, practices, and attainment of… more
- Datavant (Harrisburg, PA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... ensure solutions are aligned with client needs. + Develop educational materials, case studies, and white papers to strengthen Datavant's market positioning. + Gather… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Overview:** The Care Manager II assists members appropriate for care coordination and case management services in achieving their optimal level of health. The Care ... the care coordination program. Assess members to determine care coordination and case management needs for all referred members. **Key Responsibilities:** + Conduct… more
- AmeriHealth Caritas (Newtown Square, PA)
- …policies and procedures adhere to contractual obligations. + Performs clinical case reviews in conjunction with Medical Excellence Department. + Demonstrates ... + Assists IHCM Managers in assessing members' need for case management services + Attends case management...and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to… more
- Datavant (Harrisburg, PA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... (including major holidays) + Opportunity for growth within the company **You will:** + Receive and process requests for...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
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