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

…services for patients). Supports various business requirements of hospital (eg, managed care contracting, outcomes reporting, statistical analysis, regulatory,

…Verifies eligibility and conformance to GPG, GUH and departmental managed care requirements and contracts. Obtains insurance referrals

…related area such as registration, patient accounting, financial services, or managed care .Requires knowledge of medical terminology; payor reimbursement

…is responsible for identifying and preparing clinical appeals for government, managed care organizations, and various other payors. Provides assistance

…Experience in Gerontology, Internal Medicine, and/or Family Medicine Experience in a managed care and/or ambulatory environment Urgent care experience

…and achieve more - in our careers and in our communities.Job Description Summary:The nurse care coordinator's primary role is to identify and eliminate gaps and

…network of medical groups in the nation, MedExpress is seeking a Full Time Urgent Care Independent Nurse Practitioner to join our team in Haverhill, MA. At

…network of medical groups in the nation, MedExpress is seeking a Full Time Urgent Care Independent Nurse Practitioner to join our team in Harrisonburg, VA. At

…for many older people and those with disabilities. CCC Plus is a Medicaid managed care program through the Virginia Department of Medical Assistance Services