…facility offering medical and surgical programs, 24-hour adult and pediatric emergency care and outpatient services. The Retreat Doctors' Hospital campus is also

…facility offering medical and surgical programs, 24-hour adult and pediatric emergency care and outpatient services. The Retreat Doctors' Hospital campus is also

…medical management process and ability to interpret and apply member contracts, member benefits, and managed care products. ** Nurse Care Manager Sr.** +

…preferred -Case Management in an integrated model preferred -Bilingual preferred - Managed Care experience preferred - Crisis intervention skills preferred -

…integrated model preferred Case management and discharge planning experience preferred Managed Care experience preferred Crisis intervention skills preferred

…Qualifications Requirements and Preferences: 3+ years of clinical experience; Required Managed Care experience; Preferred RN with current unrestricted state

…Preferred Skills: - Case management and discharge planning experience preferred - Managed Care experience preferred - Crisis intervention skills preferred -

…practice. Three (3) years care management/ disease management experience in a managed care organization.Current registered nurse licensure in the state

…the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers,

…utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products in effect for the claim date of