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* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines...
* Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines...
* Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines...
* Work to improve quality and promote evidence-based medicine * Provide information on quality and efficiency to doctors, patients and customers...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Reviews surgical and other professional claims for correct coding using clinical record * Participation in Training regarding URAC, NCQA,...
* Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines...
* Work to improve quality and promote evidence-based medicine * Provide information on quality and efficiency to doctors, patients and customers...
* Clinical leadership within Optum Serve and reports to the Chief Medical Officer, Community Care Services. They collaborate with the CEO, Community...
* Clinical leadership within Optum Serve and reports to the Chief Medical Officer, Community Care Services. They collaborate with the CEO, Community...
* Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Reviews surgical and other professional claims for correct coding using clinical record * Participation in Training regarding URAC, NCQA,...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Work to improve quality and promote evidence-based medicine * Provide information on quality and efficiency to doctors, patients and customers...
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