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…delivery of patient care services, including but not limited to Medicare, Managed care , Medicaid, third party providers, challenges to current health care
…cost containment background, such as utilization review or managed care helpful. New Jersey Registered Professional Nurse active unencumbered required,
…resource management.* Maintains knowledge and understanding of CMS regulations, Medicare/Medicaid, managed care and other payer regulations and benefit limits.*
…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced
Public Consulting Group, Inc.
…of Public Consulting Group, is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse
…to reduce length of stay and manage utilization; and reimbursement mechanisms and managed care issues that impact medical necessity and discharge planning.
… and medical necessity according to criteria established by TMF, Medicare, Medicaid, Managed Care agencies, and Clinical Path resources [Interqual, M&R]. Such