…tracking Medicare days in the facility. + Serves as facility contact with Managed Care providers to ensure appropriate authorization and reimbursement for

…hosts Assisted and Memory Care services for a total of 68 units. Managed by Ebenezer we are proud of our skilled, compassionate and good natured team of

…of the team as needed. . Works collaboratively with staff members involved in care of case managed population. . Seeks peer consultation regarding cases that

…staff to facilitate timely start and continuity of services. Works in conjunction with managed care and coding departments to maintain accuracy in clinical and

…health systems/community outcomes through the application of educational concepts/skills and preventive care in a managed care environment. Essential

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

…guidelines, and payor medical policies + Demonstrates knowledge of governmental, managed care , and commercial denial/appeal policies + Appropriately reviews

…plans related to mental health and substance abuse across the continuum of care . Experience with managed care , case management, utilization management,

…decision-making skills. + Knowledge of insurance regulations, specifically Medicare, BC/BS, managed care plans and workers compensation carriers regarding

…Hospital RN-New Graduate UnityPoint Health Finley Hospital CRNA Southwest Health Home Care Nurse Residency, Dubuque Iowa UnityPoint Health Finley Hospital