…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

…provides feedback re: opportunities to improve. Requirements: BSN Preferred 3-5 years acute care /clinical experience; 2-3 years managed care and/or care

…the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers,

…(HRA), Managed Care Organization (MCO), and Managed Long-Term Care (MLTC) guidelines. Additionally, the Registered Nurse , Per Diem is responsible for

…the applicable medical policy and industry standards accurately interpreting benefits and managed care products and steering members to appropriate providers,

…- 55 per hour! All Wage determinations will be based on similar experience._** The ** Nurse Manager** for **Ebenezer Ridges Care Center** is an RN whom will be

…internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. 7. May

…WHAT WE DO At Ageless Men's Health we focus on safe and medically managed testosterone replacement therapy, weight management, skin care and concierge medicine

…patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, and

…Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required