A company that provides medically managed care services is filling a position for a Telecommute Medical Registered Nurse Case Manager in West Palm Beach.

…on multiple computer systems. Strong customer service skills. Working knowledge of managed care environment. Critical thinking skills. Current RN licensure On

…any state licensure the organization requests 1 year of experience in a Managed care organization (MCO) or Third party administrator (TPA) Become knowledgeable

…regulations. · Experience in multi-tasking on multiple computer systems. · Working knowledge of managed care environment. · Current IL RN licensure · CPR JOIN

A provider of medical managed care services has a current position open for a Telecommute Medical Nurse Case Manager. Candidates will be responsible for the

…Quality Management experience preferred; Experience using standardized clinical guidelines preferred Milliman Care Guidelines (MCG), Managed Care and NCQA

…200,000 inpatients and outpatients each . Responsibilities Req ID: 38790 The , Patient Care is the Nurse Executive for the hospital and has ultimate

…meet Medical Necessity Criteria to authorize services as needed. Requires knowledge of managed care contracting, Medical Necessity, CMHRS services, BH and ARTS

… care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral

… care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral