…of Milliman or InterQual criteria Preferred: + Experience working within a managed care environment Specific Technical Skills Preferred: Computer proficiency

…Alzheimer's. The Centers Health Care family offers Skilled Nursing, Urgent Care , Managed Care , Renal Dialysis Services, Clinical Laboratory Services,

…the guidance and plans they need for healthy living. One of the fastest growing Managed Long-Term Care company in New York, Centers Plan For Healthy Living is

…literate. **Preferred Qualifications:** + A working knowledge of Medicare guidelines and managed - care guidelines is desired. + Communicates clearly concisely and

…DEA registration. + Preferable board certified or board eligible in primary care specialty (Family Practice, Internal Medicine, Emergency Medicine, Public Health or

…RN License + Certified Case Manager (CCM) + Case Management experience + Managed Care experience + Telephonic case management and/or telephonic customer service

…substance abuse population Prior medical administration experience Skills: Quality improvement, and managed care program and information systems, as well as

…CPT/ ICD-10 codes to patients and referring physicians' offices as needed for managed care providers. Answers basic insurance questions related to mammography. +

…you will oversee a team of WIC Educators, ensuring high-quality client care , compliance with WIC policies, and exceptional service delivery. With your expertise,

…provide personal cares to improve and/or maintain the senior assisted living memory care patient's physical and emotional well-being. This direct care schedule