…managers, medical records staff, clinical managers, administrator, fiscal intermediary, managed care organizations and physicians.Demonstrates an ability to

…regarding efficiencies in operations Working knowledge of Medicare, Medicaid and Managed Care coverage, referral and reimbursement methods Able to

…work. Experience Qualifications Two (2) years or more case management, utilization management in managed care setting or related experience in a health care

…or case management. The Nurse Auditor will work closely with the FH/ Managed Care department anytime there are audits requested by an insurance company.

…strong business systems in place to ensure that group members can focus on patient care while practice operations are expertly managed by a team of support

…quality home health care to adult and geriatric Veteran, Medicare, Medicaid and Managed Care patients in their homes and in the community. The Nurse

…* Manages utilization review authorizations, both verbal and written to assure high continuity of care for all managed care patients in the program and

…and continued stay review. 2. Performs external concurrent review as requested by managed care entities or preferred provider contractual agreements. Acts as a

…Career development opportunities within Atrium Health Job Summary The RN Clinical Nurse I provides professional nursing care through skillful assessment,

Job DescriptionThe Patient Care Coordinator is responsible for ensuring that patient care is coordinated and managed appropriately. The Patient Care