…the ages of 21-64 years of age. You will work on a small, collaborative team with One Care Nurse Care Managers and other Care Coordinators as well as our

… care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral

…working with developmental disabilities population + Medicare and Medicaid experience + Managed care experience **SKILLS** + Working flexible hours to meet

…diagnostic & treatment clinic preferred. + Customer Service experience is required. + Managed long-term care insurance experience beneficial. + Minimum of one

…the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of

…tracking Medicare days in the facility. + Serves as facility contact with Managed Care providers to ensure appropriate authorization and reimbursement for

…a hard-working and dedicated Referral Coordinator, to prepare and process all managed care referral paperwork, schedules and pre-registers patients for exams

…clinical acumen and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this

…or exceeds standards set by the facility. + Educate patients on both clinical and managed care . + Participate in clinic and network task forces as requested and

…Employee schedules are made through several shift designs. Patients are medically managed by several Nephrologist and Advanced Practice practitioners (APP) We have