StarPlus State Fair Hrng/EMR C in Houston, TX for Harris Health System

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StarPlus State Fair Hrng/EMR C

JOB SUMMARYUnder the supervision of STAR PLUS Supervisor of State Fair Hearing Appeals and Grievance will review SFH/EMR request and collaborate with STAR PLUS Service Coordinator to ensure all The STAR + PLUS STATE FAIR HEARING/EMR COORDINATOR will attend any mandated HHSC trainings.JOB SPECIFICATIONS Essential FunctionsPrepare and submitting case file (EMR and SFH packets) for External Reviews and/or State Fair Hearing that pertain to LTSS services.Oversee and survey all appeals from Out- of -Network providers related to LTSS Services for as set forth by the CHC Model of Care for Star Plus members.Work autonomously and with agency to pre

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