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Updated: March 03, 2024 02:41 PM GMT

Full-time Job in 6th of October City (2), Giza Governorate


ASHRYSTEEL

ASHRYSTEEL

6th of October City, Egypt

• *THIS POSITION IDHYBRID in Orange,CA**

JobSummary

CaseManagement is an advanced specialty collaborative practice,responsible for providing ongoing case management services formembers. The Medical Case Manager will facilitate communication andcoordination amongst all participants of the health care team andthe member to ensure that the services are provided to promotequality, cost-effective outcomes. The incumbent provides casemanagement intervention on behalf of members with short term,stable, and predictable courses of illnesses. The incumbent is alsoresponsible for answering the medical appropriateness, quality, andcost effectiveness of proposed hospital/medical/surgical servicesin accordance with established criteria. This activity may beconducted prospectively, concurrently orretrospectively.

PositionResponsibilities
• Reviewsand evaluates proposed services utilizing medical criteria and/orestablished policies and procedures. This includes review ofsubmitted medical... More Detail


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