…planning, home health care , rehabilitative medicine, community health or managed care . Teaching experience preferred. Excellent verbal communication and

…pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral.

…coping skills. Works collaboratively with the patient, community resources, other providers, managed care operations, the UCLA Health System, and health plans

…years clinical experience as Registered Nurse (RN) Minimum 2 years managed care or equivalent utilization management experience. **REQUIRED LICENSURE AND

…work with sound decision-making. + Knowledge of insurance regulations (Medicare, BC/BS, managed care , workers' comp). + Ability to prioritize tasks effectively.

…+ Provide liaison with community and private referral resources, as well as managed care entities. Develop, recommend, and research external providers, as

…nursing required. Four years of Revenue Cycle, Billing, Third-Party Payer, Managed Care , Prior Authorization or Denials experience required.

…decision-making skills. + Knowledge of insurance regulations, specifically Medicare, BC/BS, managed care plans and workers compensation carriers regarding

Nurse (RN/LPN) or Certified Medical Assistant - Urgent Care : Sign-on Bonus Available (Full-time) **Grand River Medical Group** 1 Positions ID: 1370567 Posted On

…skills at all times. 6. Maintains working knowledge/experience in utilization management, managed care , and payer issues that may impact the course