…**Preferred Qualifications:** + Previous **Utilization Management** experience + Familiarity with ** managed care ** , **TJC** , **CMS** standards, and performance

…both operationally and fiscally. 3. Verify that perioperative personnel provide safe patient care in the area managed . 4. Incorporate and assist perioperative

…Work, Counseling, Education, or related field and 3 years' experience in Acute or Managed Care / experience with Medicaid or Medicare populations. OR + Bachelor's

…case management, including finding psychiatric beds and obtaining authorization from managed care companies. Works in close collaboration with on-call

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

…an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of

…Uses creativity in the delivery of services and products in a highly competitive managed care market. Ensures that planning within the departments is done in

…clinical reminders "due" at the time of each patient visit. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient

…offers a full continuum of care including Transitional Care , Enhanced Care and Assisted Living/Memory Care . Managed by Ebenezer, we offer employees

…rest of your healthcare career. Director of Nursing are valued members of the care team who are focused on helping patients with medically complex conditions regain