General Summary: ======================== Responsible for case management activities for Health Alliance Plan (HAP) Special Needs Plan (SNP) members using a multi disciplinary, patient centered approach.Conducts assessments of biomedical, psychological, social and functional needs,developsanindividualizedcareplan,implementscase management interventions, facilitates an interdisciplinary care team,…
General Summary: ======================== This position has the following primary objectives with respect to customer relations for all HAP product lines:Provide follow up and courteous and prompt resolution to internal and external customer inquiries by conducting thorough investigations and fully educating…
RN PROVIDER APPEALS COORDINATOR MEDICAL APPEALS 40 HOURS WEEKLY DAY SHIFT Full Time Benefit Eligible Schedule: Monday through Friday, 8:00AM to 4:30PM. This position is primarily remote with the possibility of in person meetings and trainings periodically at our Troy…