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About the role

Coordinating level of care transitions, the full-time Post Acute Care Specialist - Integrated Care will manage authorization requests, communicate with stakeholders, and ensure compliance with post-acute utilization management activities in a remote setting.
Key responsibilities: Convert and verify information from various stakeholders into electronic records, ensuring member eligibility and benefit coverage Review requests and communicate changes in eligibility or coverage to providers and stakeholders Assist clinical teams in processing authorization requests and gathering data for reporting
Required qualifications: High School diploma or GED required Minimum of eighteen months of clinical and/or insurance experience or related healthcare education/certification required Managed care experience preferred Experience with post-acute, nursing facility, and/or HCBS waiver services preferred Medical Terminology Certificate preferred

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JOB OVERVIEW

Experience level

Senior

Location

Denver, CO

Occupation

Medical Records Specialists

Industry

Services for the Elderly and Persons with Disabilities

Posted

today

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