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Position Purpose: Perform duties to direct and coordinate the medical management, quality improvement and credentialing functions for the assigned health
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Position Purpose: Provide telephonic disease management services to individuals with diabetes. Services include educating members with diabetes about the
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Position Purpose: Perform duties related to the day-to-day operations of the High Risk Case Management functions to include working with members identified
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Position Purpose: Lead and direct process improvement activities that provide more efficient and streamlined workflow. Knowledge/Experience: Requires a
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Position Purpose: Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and
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Position Purpose: Perform duties related to the day-to-day operations of the Integrated Case Management functions to include working with members identified