…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced

…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced

…license in Ohio + At least 2 years of experience with Federal Medicare/Medicaid and Managed Care reimbursement system management in working with the MDS and RAI

…As one of the nation's largest nonprofit systems, CommonSpirit Health has over 2,200 care sites and 140 hospitals in 24 states. We serve some of the most

…patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, and

…patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, and

…for care eligible, employee must contact information for DEERS, the Managed Care Contractor for Tricare and the Benefits Counseling Assistance Coordinator

…Assistant certification preferred *_Experience:_* Two years professional work experience in health care , managed care , or insurance. *_Knowledge, Skills and

…Perform review of medical records and documentation related to Medicaid and affiliated Managed Care Organizations + Maintain compliance with MCD/MCR, State and

…of Station (PCS): Not Authorized Preferred Experience: Master's Degree in Nursing Care Coordination/ managed care experience Works well with interdisciplinary