
201 - 500 employees
Founded 1973
🤝 Non-profit
🤝 B2B
🔬 Science
Non-profit • B2B • Science
Comagine Health is a national nonprofit health care consulting organization that partners with providers, payers, public agencies, community organizations and consumers to improve health care quality, equity, and outcomes. It offers systemwide quality improvement, care management, data solutions, research and evaluation, and COVID-19 response services, using health information exchange and health IT to inform public health surveillance and program design. Comagine focuses on supporting community health, behavioral health, and patient-centered initiatives through technical assistance, evaluation, and collaborative systems-level work.
🕒 2 days ago
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201 - 500 employees
Founded 1973
🤝 Non-profit
🤝 B2B
🔬 Science
Non-profit • B2B • Science
Comagine Health is a national nonprofit health care consulting organization that partners with providers, payers, public agencies, community organizations and consumers to improve health care quality, equity, and outcomes. It offers systemwide quality improvement, care management, data solutions, research and evaluation, and COVID-19 response services, using health information exchange and health IT to inform public health surveillance and program design. Comagine focuses on supporting community health, behavioral health, and patient-centered initiatives through technical assistance, evaluation, and collaborative systems-level work.
• Validate the request submitted via the Comagine Health Provider Portal for accuracy and completeness. • Screen cases for required medical information based on type of request, determining if information is sufficient for clinical review. • Obtain clinical information from the client systems when indicated or contact provider to obtain information required for review. • Determine based on training when a scripted review is indicated based on contract requirements. • Process requests after clinical reviewers, or managers to ensure language and determination information is complete before sending letters to providers. • Respond to inbound telephone requests with clear documentation in the care management system of calls. • Enter case information from original source documentation or validate information entered by providers in the portal. • Make courtesy calls with case reference numbers. • Provide notification of completed review and additional information needed, when applicable. • Contribute to orientation and training of other non-clinical employees.
• High school diploma or equivalent or equivalent combination of education and/or work experience in related field may be substituted. • 2 years of related work experience or customer service experience. • 1 year of work experience in healthcare. • Post-secondary education or certification in a related field preferred. • 2 years of work experience in healthcare; nursing assistant or medical assistant experience. • Intermediate understanding of medical terminology. • Intermediate Microsoft Office Suite proficiency.
• Medical, dental and vision insurance • Paid time off for vacation, illness and volunteering • Retirement savings plan with employer contribution • Adoption financial assistance • Paid parental leave • And much more!
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