…facility or equivalent combination of education and experience Experience working in Managed Care Payor experience and/or experience with nationally recognized

…Case Management and knowledge of URAC standardsBroad knowledge of health care delivery/ managed care regulationsPrior Case Management/review experienceBroad

…· Minimum three years clinical experience is required. Minimum one year managed care experience. · Bilingual (English/Spanish) speaking and writing preferred.

…with medical surgical hospitals, community mental health centers, educational institutions, managed care organizations, local health professionals and agencies.

…and supportive counseling to patients in accordance with state and federal standards of care and Managed Care partners. The Social Worker will assure

…. JOB DESCRIPTION: The Clinical Supervisor is responsible for ensuring that patient care is coordinated and managed appropriately. The Clinical Supervisor is

CARE COORDINATION CASE MANAGER The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Care Coordination Case Manager. The

…in helping members achieve quality care . Whether you have experience in managed care (case management or utilization management) or have direct experience in

…in helping members achieve quality care . Whether you have experience in managed care (case management or utilization management) or have direct experience in

…Certification Board of Pediatrics Nurse Practitioners & Nurses 5. Oncology Nurse Certification Corporation & Critical Care Certification Corp. DEA license