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- …they arise, making an assessment when escalation to a Senior Representative, Supervisor , or another Molina department is needed. Takes initiative in preventing and ... would occur to discuss and resolve issues related to utilization management, pharmacy , quality of care, and correct coding. * Independently delivers training and… more
- Hospice Of San Joaquin (Stockton, CA)
- …24 hours a day, seven (7) days a week. When unavailable ensure Clinical Supervisor on Call is available for patient care needs and clinical supervision. 2. Ensures ... the development, coordination, integration, and delivery of clinical care services; develops systems and standards for the delivery of services; is accountable for… more
- Defense Health Agency (Fort Irwin, CA)
- …for additional medical care/diagnostic testing such as lab, x-ray, referral management, pharmacy , Nurse Case Manager (NCM), etc. Reviews, at the minimum, next day ... any follow-up care that is required. Duties include the use of automated systems (ie MHS-Genesis, Medical Operational Data System (MODS) and the Medical Protection… more
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