FEATURED JOBS
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…our Ambetter Marketplace. The ideal candidate will have previous case management, home health or managed care experience and reside in a Eastern Time Zone with a

…team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for

Member Health Assessor - Hybrid in South Carolina Must have BH exp (LVN/LPN Required)
Molina Healthcare
…social work. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required License,

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

…cooperation with emergency department personnel, psychiatrists, clinicians, attending physicians and managed care representatives. While in this position you

…Using approved criteria, conduct admission and concurrent chart reviews for Medicare/Medicaid/and managed care payers within appropriate time frame to ensure

…Manages large single unit or multiple clinical units to ensure excellent patient care . Actively develops leadership of entry level nurse manager(s) while leading

… care to psychiatric patients working under the direction of a registered nurse . CORE FUNCTIONS 1. Provides basic nursing care to patients including technical

…or exceeds standards set by the facility. + Educate patients on both clinical and managed care . + Participate in clinic and network task forces as requested and

…pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral.