…for community resources and refers appropriately. **Credentials:** . Adult Gero Acute Care Nurse Practitioner or Masters' Prepared Physician Assistant . Current

…skills at all times. + Maintains working knowledge/experience in utilization management, managed care , and payer issues that may impact the course

…the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of

…available. ** 17. Acts as a resource to the team regarding insurance benefits, managed care processes, and utilization issues. ** 18. Is responsible for

…payor within the patient population; + Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely

…information utilizing internal or electronic sources. + Obtains and documents managed care referrals, required pre-certifications and authorizations as necessary

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

…patient placement within departmental guidelines. + Stays informed of changes in managed care and communicates procedural and financial impact to physician

…in accordance with all policy, procedures, professional practice guidelines and the MN Nurse Practice Act. The RN coordinates care with members of the

…for quality care and personalized service. Responsibilities for this Registered Nurse opportunity include, but are not limited to: * Demonstrate excellence in