- Evolent (Hartford, CT)
- … in accordance with regulatory standards. + Initiate, research and refer delegated appeals to the clinical teams. + Utilize multiple internal and external ... for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a...part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of… more
- Nuvance Health (Norwalk, CT)
- …hour Summary: The Care Coordination Assistant works at the direction of the Clinical Care Coordinator and assists in facilitating discharges from the hospital ... as requested. 6. Prepares/faxes electronic medical record for QIO appeals . 7. Assures that all requests from all referral...clinical information are conveyed to the responsible Care Coordinator timely via the EMR to avoid adverse determinations… more