…and on-site collaborative efforts with facility discharge planners, MJHC, and in-house case management staff. managed care nurse , managed care rn,

…resource management. * Maintains knowledge and understanding of CMS regulations, Medicare/Medicaid, managed care and other payer regulations and benefit limits.

…within one year of eligibility.3 years Case Management experience preferred.Keyword: RN, Registered Nurse , managed care , care coordination, MLTSS, health

…in conjunction with the PCP, caregivers and other team members, to help meet the member's needs. managed care nurse , managed care rn, nursing, rn,

…Rate Keywords: Utilization Review, Utilization Management, Registered Nurse , MCO, RN, Nurse , Managed Care , Medical Claims, Appeals, Mail Order

…required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care . Responds to incoming telephone calls and (per provider instructions) calls

…Professionals ( Nurse Practitioners and Physician Assistants). CareMount Medical Urgent Care Centers provide care with the convenience of expanded evening

… Manager, Utilization Review, Utilization Management, Registered Nurse , MCO, RN, Nurse , Managed Care , Medical Claims, Appeals, Mail Order Medications,

…Management, Registered Nurse , HEDIS, Quality Assurance, Quality Improvement, MCO, RN, Nurse , Managed Care , Medical Claims, Appeals, Mail Order

…Vocational Nurse , LPN, Licensed Practical Nurse , MCO, LVN, RN, Nurse , Managed Care , Medical Claims, Appeals, Mail Order Medications, Insurance