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Interacts and coordinates referrals to the Medical Directors as necessary. Demonstrates evidence of continuing education, minimally 1 per quarter to maintain clinical expertise. The Specialty Case Manager interacts with benefit specialist and claims staff for claim payment direction to ensure correct interpretation of transplant contracts and to apply payments accurately.
Participates on committees, task forces and other company projects, as assigned. Supports training initiatives or audits of case files, as assigned.
Demonstrates sensitivity to culturally diverse situations, clients and customers. Any other assigned tasks as deemed necessary to meet business needs. Additionally the candidate will be responsible for the adoption and demonstration of the Consumer Health Engagement cultural beliefs. They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results.
Employees must be fully vaccinated if they choose to come onsite. Currently we are encouraging all employee to remain working from home and all onsite meetings require a virtual option.
Are you willing and able to comply with our policy? This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer k with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, you'll be empowered to solve the problems others don't, won't or can't.
Join us. What difference will you make? Junior Level. Establishes a documented patient centric case management plan…. Working with field and office RN case managers and medical assistants. Use Facebook or Google to sign in or register with SimplyHired.
Continue with Facebook Continue with Google. Job Title, Skills or Company. List View. Date Added Anytime 24 hours 7 days 14 days 30 days. Sort by Relevance Date. Apply Filters. Cigna - Hartford, CT 3. Cigna - Dallas, TX 3.
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