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Central Processing Unit programs and computers including instrument tracking program, email, spreadsheets, and word processing software. Ability to apply policy and procedure when making decisions. Ability
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, county funded coverage, and worker's compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics and ancillary services, coordinate
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directing and involving members of the multi-disciplinary team, outside providers, community resources, and third-party payors. The Clinical Case Manager accurately maintains and tracks pertinent data and
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Microsoft Office Suite: Word, Excel, Outlook, Access, etc. Tracking and recordkeeping experience or skills. Analytical skills to evaluate information, changes in practices and procedures, formulate logical
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systems as related to required job functions for this position, including Medicare, Medi-Cal, HMO, PPO, fee-for-service, and workers’ compensation, sufficient to properly obtain and track authorizations
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recruitment, screening, enrollment, scheduling, data collection, participant tracking, and invoicing. Additional CRC responsibilities may include, but are not limited to: study start-up, budget negotiation, IRB
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are not limited to: subject recruitment, screening, enrollment, scheduling, data collection, participant tracking, and invoicing. Additional Assistant CRC responsibilities may include (but are not limited
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, manage, and track complex managed care contracts and effectively carry out all contracting activities. Preferred Qualifications Advanced business or related degree, or degree in Law. 5+ yrs payer
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, reimbursement mechanisms, and industry trends. Proven track record of driving business growth, operational excellence, and financial performance improvement. Preferred Qualifications Master's degree preferred
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obtain and track authorizations, make referrals, coordinate hospital admissions, and explain provisions and requirements to patients. Key Responsibilities 50% - Responsibilities 40% - Job Standards 10