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Coordinator - Case Management

primehealthcare · Inglewood, CA, US

External listingcontract6 days ago

About The Role

Responsible for the coordination of the various activities of the Case Management Department including utilization management, social services and discharge planning. Assists with case management referrals, authorizations and discharge planning. Maintains and coordinates Medi-Cal (TARS) for presentation to on-site reviewer and files them accordingly. Responsible for copying and sending charts for MEDICAL appeals. Work closely with the business office in completing the retrospective TAR and maintain the DNFB log. Assist in compiling reports and statistical data for the utilization committee and weekly utilization meetings

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