This position provides clinical expertise and knowledge ofappropriate utilization management, managed care guidelines, Medicare andMedicaid rules and level of

…is responsible for assuring that issues affecting clinical practice are appropriately managed . In conjunction with active clinical practice, the AMD serves as a

…cost effective outcomes. Requirements: 2+ years of experience with case management Previous managed care experience (must have worked for a health plan or

…of multiple groups and resources for patients Previous experience in a managed care environmentDiscover a diversified health services and innovation company

…community mental health setting Field based work Previous experience in a managed care environment Experience with the Medicaid/Medicare population Careers with

…administratively or professionally responsible. Maintains current knowledge of applicable managed care , Medicare and state Medicaid regulations, reimbursement

Anne Arundel Dermatology is an exclusive physician-owned and managed dermatology practice and we are expanding our specialized services in Prince Frederick, MD. We

…state of operations within 90 days of hire. Plus 3 years wellness or managed care experience presenting clinical issues with membersphysicians. Knowledge of the

…state of operations within 90 days of hire. Plus 3 years wellness or managed care experience presenting clinical issues with membersphysicians. Knowledge of the

…to decrease fragmentation.Implements/coordinates acquisition strategies (eg screening, outreach, managed care contracts).Assists with establishment of clinical