Complex Case Manager Nurse

A Case Manager Nurse uses the nursing process to plan, implement, and evaluate the quality of patient care, and the use of resources. A primary focus is to monitor the quality of care in order to assure that there are … Continue reading →

Clinical Appeals Coordinator

A Clinical Appeals Coordinator’s primary role is to act as a liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals. The Clinical Appeals Coordinator is also responsible for ensuring that all appeal letters that are … Continue reading →

Client Services Specialist

A Client Services Specialist in the healthcare field is ensures that patients and clients have a positive experience. They act as a liaison between the company and its clients, in addition to assisting with complaints, orders, account questions, billings, and … Continue reading →

Claims Research

A Claims Researcher in the healthcare field works to review insurance claim files to ensure that carriers are exercising their practices in an efficient manner. The Claims Researcher works to produce reports on a daily, weekly, and monthly basis in … Continue reading →

Healthcare Claims Manager

A Claims Manager in the healthcare field manages and administrates direction of billing for medical services provided to patients in order to ensure they receive care in the most efficient manner. They work to plan, organize, and direct a medical … Continue reading →

Healthcare Claims Liaison

A Claims Liaison in the healthcare field serves as the claims payment expert for a company in the healthcare field such as a hospital, clinic, or nursing facility. One of the main focuses of a Claims Liaison is to act … Continue reading →

Healthcare Case Manager

A Healthcare Case Manager ensures the quality care of their clients by promoting quality, cost-effective outcomes. They provide management services to children, families, and other caregivers in a variety of settings such as hospitals, assisted living facilities, home, or school … Continue reading →

Business Analyst

A Business Analyst in the Healthcare field would support the development and quality of the healthcare platform. They would have an extensive knowledge and experience in diverse environments and applications. A Business Analyst has the ability to discuss industry and … Continue reading →

Behavioral Case Manager

A behavioral case manager in the healthcare field is primarily a social worker who works with clients who have behavioral disorders such as, drug or substance abuse, eating disorders, or other mental illnesses detrimental to their health. They are responsible … Continue reading →

Behavioral Healthcare Coordinator

As a behavioral healthcare coordinator/behavioral health coach, you would be assisting psychiatric providers on a day to day basis to coordinate patient visits and working with patients to reduce no-shows. You would be a core member of a care team … Continue reading →