. As a vital part of our managed care team, you will: Review and evaluate medical or behavioral eligibility regarding benefits...
and providers regarding health care delivery systems, utilization of networks, and benefit plans. Maintain current knowledge...
Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participate in data collection...), and DOL (Federal). Participate in direct intervention/patient education with members and providers regarding the health care...