Health One Alliance, LLC – Dalton, GA – Description: The Medical Management Representative supports clinical team and serves as a proactive resource for members related to case management and utilization management. .Requirements: Duties and responsibilities Conducts educational telephone calls advising members of available benefits, services and programs; refers members to population health management programs as appropriate Reaches out to members with identified gaps in care to provide assistance in securing provider… projects as needed Performs duties such as, but not limited to, project research, data entry, and file management Works with internal and external persons and/or entities to ensure requests, problems and questions are researched and resolved in a timely manner Works overtime as needed Regular and predictable attendance Consistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practice Maintains work area in a clean and orderly condition and ensures safe…