…experience required + At least 2 years of experience with Federal Medicare/Medicaid and Managed Care reimbursement system management in working with the MDS and

…discharge planning/social work and utilization + Management; including Medicare, Medicaid and Managed Care regulations. Demonstrates the ability to adapt to

…Minimum : Knowledge of health care issues, trends, legal compliance and managed care with emphasis in all components and nursing operations. Ability to

…plans and information necessary for billing and reimbursement purposes, including managed care plans, Medicare secondary payor requirements, ACO primary

…plans related to mental health and substance abuse across the continuum of care . Experience with managed care , case management, utilization management,

…interaction with patients. In addition, will interface with key stakeholders in Admissions, Managed Care and Insurance Coordinators. The VP of Revenue Cycle will

…Details: AnMed is looking for pediatricians to staff a well-established pediatric urgent care in Anderson, SC. Clinic hours are 10a-9p weekdays and 12-7p weekends

…years medical surgical nursing and/or job related experience + Preferred prior insurance / managed care /utilization review experience in the role of a Case

…internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. 7. May

…State of Maine Nurse Practice Act, Northern Light Health Standards of Care /Practice, policies and procedures. The Registered Nurse I is responsible for the