Account Service/Customer Service Rep
Quality Care Partners is hiring an Account Service / Customer Service Rep. POSITION SUMMARY: Responsible for answering members, employers, brokers and providers questions, implementing new third party administrators and groups, documenting complaints, and clarifying benefit changes or exclusions. Responsible for regular contact with employer groups, benefit representatives, company reps and other labor reps involved in evaluation and implementation of the health plan offerings. RESPONSIBILITIES: •
Quality Care Partners, Inc.
LPN - Utilization & Disease Management
Role expectations for Utilization Management Nurse includes assessing, organizing, implementing and evaluating the care and utilization across the continuum, to enhance quality patient care while simultaneously promoting cost effective resource utilization. This role performs utilization management, discharge planning, and screens for case management referrals. The Nurse assesses the needs of patients/clients and their significant others, while being aware of outcomes, costs, and processes. The nurse
Quality Care Partners, Inc.
