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A&G Non Clinical Specialist at Healthfirst
Healthfirst - Woodstock, QLD, Australia
**This position is Remote Duties and Responsibilities + Responsible for case development and resolution of non-clinical cases, such as: certain types of claim denials, member complaints, and member and provider appeals. The end-to-end process requires the Specialist to independently: + Research issues + Reference and understand HFs internal health plans policies and ...
RN/SW Care Manager - 100% Remote at Healthfirst
DirectEmployers - Woodstock, QLD, Australia
**Duties/Responsibilities:** Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. Conducts assessments to identify barriers and opportunities for intervention. Develops care plans that align with the physicians treatment plans and recommends interventions that align with proposed goals. Generates referrals t...
