Heading: Job Opportunity: Case Management & Care Coordination Associate Position Available at Reliance HMO

In a recent announcement, it has been advised to never pay for any CBT, test, or assessment as part of any recruitment process. If there are any doubts, individuals are encouraged to contact the appropriate authorities for clarification.

One such opportunity that job seekers may come across is the Case Management & Care Coordination Associate position. This role involves analyzing and reporting fraud, waste, and abuse data, managing emergency cases, conducting mortality investigations, overseeing general case management and care coordination activities, managing at-risk cases, and monitoring ICU admissions for enrollees within the Reliance HMO Providers network.

The responsibilities of the role include analyzing claims data, utilizing data analytics tools to identify potential fraud, waste, and abuse cases, managing emergency cases, collaborating with healthcare providers for emergency care, conducting mortality investigations, monitoring ICU admissions, and ensuring compliance with laws and regulations.

To qualify for this position, candidates must have a Bachelor’s degree in medicine, nursing, or related disciplines, knowledge of healthcare operations, fraud prevention, and regulatory compliance, experience in fraud investigations, familiarity with emergency management protocols, and professional certifications in fraud examination or case management.

Benefits of this role include the opportunity to work alongside top talent, join a market leader in the insurance industry, attractive commission, a fantastic work culture, and the chance to learn from industry experts.

To apply for this position, interested individuals can click on the provided link. Remember, never pay for any recruitment process and always verify any doubts with the appropriate authorities.