…opportunity to be part of a leading healthcare organization that prioritizes patient care and staff well-being. About UPMC Mercy: Mercy is home to a recovery-focused

…guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**

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

…nursing facilities including the Alexian Village, ambulatory care facilities, home health care , physician practices, managed care services, and 4 cancer

…a) Maintains a positive and professional relationship with payers that supports continued managed care contracts. b) Articulates the primary objectives of

…States** Allied Health UTMB Health Requisition # 2404552 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient

…ABILITIES** : + 2 or more years in case, disease or utilization management; managed care ; or medical/behavioral health settings. + One year of training delivery

…related clinical field, or equivalent experience. 2+ years clinical experience or managed care . Health insurance experience required; 1+ year quality experience

…an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of

…processes required + Experience leading quality audits and regulatory reporting in a managed care setting required + Experience working with provider networks,