…Policy. Maintain a PPS pathway for all residents on Medicare Part A and Managed Care . Collaborate with facility Director of Rehabilitation to ensure the most

…or rehabilitation preferred. Strong cost containment background, such as utilization review or managed care helpful. Certification as a CRC, CDMS or CCM

…while working for a provider/hospital Knowledge of utilization management principles and managed care Hours for this Position: Monday- Friday 8:00am-5:00pm OR

…several wellness and ambulatory centers, physician practices, a federal PACE program, an accountable care organization and a managed care plan. Mercy Health

…years experience with Medical / Surgical o 1 year TriWest experience o Managed Care experience Key Responsibilities Key Responsibilities o Conducts prior

…Requirements * Registered Nurse (RN) with 1+ years clinical experience * Managed care experience preferred within a healthplan or medical group setting *

…and quality of services provided. Maintains an awareness of overall concepts of managed care and makes administrative judgments to ensure the care

…treatment options. The Admissions Specialist may also be required to provide managed care entities with clinical information regarding patient psychiatric

…Medical Group have some exciting opportunities available in our Northridge Office! Clinical Nurse Openings: (Sign On Bonuses Available, LVN: $2,500 - RN: $5,000 *

…directing nursing services and ensuring the deliverance of quality nursing care . Requirements:WI Registered Nurse (RN) licenseMaster’s degree Current Registered