…model preferred. + Discharge Planning Experience. + Motivational Interviewing skills + Managed Care /Utilization Review Experience + Bilingual preferred. + BSN

…**:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PO and POS plans strongly preferred.

… care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral

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

…Planning and/or Care Management experience in an acute hospital or related managed care setting required. Salary Range USD $52.50 - USD $61.73 /Hr.

…Using principles of the Patient Centered Medical Home (PCMH), the Registered Nurse Care Coordinator will demonstrate professional nursing practice, excellent

…All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state

…utilization management experience in the acute, sub-acute, home health setting or managed care environment. **Preferred qualifications:** + Bachelor's Degree in

…**Preferred Qualifications:** + Motivational interviewing skills + Call Center experience + Managed Care experience **Education** : High school diploma or GED

…benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record