…the hospital, and BSWH. Develops guidelines for working with insurers, managed care organizations, referral providers, patients, and families. Monitors

…components in conjunction with PCP. + Ensures case management is implemented and managed to improve continuity and quality of care . + Maintains communication

…All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state

…**Preferred Qualifications:** + Motivational interviewing skills + Call Center experience + Managed Care experience **Education** : High school diploma or GED

…Capacity to work closely with patients, physicians and their office staffs and managed care plans. Strong organizational and prioritization skills. Attention to

…to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity(R) which

…benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record

…by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state, and federal

…experience. **Preferred Experience** * 2 years medical record abstraction experience. * 1 year managed care experience. * Ability to work across all levels of

…or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE,