Lisa Dutton Email & Phone Number

- Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review).- Conducts initial review of files (approximately 460 new cases per month) to determine appropriate action required.- Maintains and updates tracking databases. - Prepares reports and documents all.

Cleveland, Ohio, United States

- Responsible for the overall administration and services of the Association and the Electrical Apprenticeship Program.- Maintain an effective, on-going public relations and marketing program.- Manage the finances of the IEC Chapter, including AP/AR, preparation of the annual budget and monthly/annual financial reports.- Plan and implement all meetings.

San Antonio, Texas, United States

- Responsible for dental benefit coordination for all members in Texas.- Review claims and care management databases.- Confirm eligibility and benefits available.- Investigate any/all issues that arise between patient and provider.

San Antonio, Texas, United States

- Manage caseload and database of approximately 150 new cases per month.- Assign, track and process various time-sensitive cases to State agencies, such as Texas Medicaid and Healthcare Partnership (HHSC) and The Department of Aging and Disabilities (DADS).- Ensure State compliance on all documents prior to submission, thereby eliminating any possible.

San Antonio, Texas, United States

Verify eligibility, benefits and medical data needed for authorization requests.- Create authorization requests based on verified information.- Coordinate review and approval of various long-term care benefits.- Verify accuracy in previous and/or continuation of authorizations.- Process claims workflow, which includes verifying benefits and authorizations.