…willingness to perform other duties as assigned Requirements BSN Preferred 3-5 years acute care /clinical experience; 2-3 years managed care and/or care

…setting. Experience with utilization management, knowledge of Milliman and Interqual criteria, managed care language, and CMS rules and regulations preferred.

…member of an inter-professional care management team working alongside medical providers, nurse care managers and social service staff to meet the needs of

… Nurse graduated from an accredited program. Current unrestricted PA Registered Nurse license. Managed care or utilization review experience preferred.

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

You. You bring your body, mind, heart and spirit to your work as a Registered Nurse Care Manager. Your compassion is tangible: whether your patient is 18 or 85,

…standards of care and under the supervision of a registered nurse , nurse practitioner, and/or physician. Provide appropriate guidance regarding preventive

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

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

…laws and regulations, as well as other issues related to the case management/ managed care industry. This is also critically important in keeping licenses