of care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims... information to support and determine medical necessity criteria and contract benefits. Collaborates with BCBSSC Care Management...
(Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data... health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on-site...
Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participate in data collection...), and DOL (Federal). Participate in direct intervention/patient education with members and providers regarding the health care...