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Provide effective and cost-efficient medical case management services in accordance with URAC and CMSA standards. Facilitate return-to-work solutions and maintain quality documentation while collaborating with adjusters, employers, and patients.
To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management.
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