Sr Medical Case Manager

Crawford Job Listings - GlobalSan Antonio, TX
78d

About The Position

The position involves providing quality case management services in a manner that is both appropriate and cost-effective. The role includes delivering medical case management services that align with URAC standards and CMSA Standards of Practice and Quality Improvement Guidelines. This service is directed towards patients and employees who are receiving benefits under various insurance lines, including but not limited to Workers' Compensation, Group Health, Liability, and Disability.

Requirements

  • Experience in medical case management.
  • Knowledge of URAC standards and CMSA Standards of Practice.
  • Familiarity with insurance lines such as Workers' Compensation and Group Health.

Responsibilities

  • Provide medical case management services to patients/employees.
  • Ensure compliance with URAC standards and CMSA Standards of Practice.
  • Implement Quality Improvement Guidelines in case management services.
  • Manage cases related to Workers' Compensation, Group Health, Liability, and Disability.
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