…Located outside of the clinical space, but designated departmental space is the managed care team. Our faculty positions include 1 Chair, 12 Generalists,

…in Healthcare or related field. + Minimum five years' clinical experience as a registered nurse . + Managed care case management experience working with dual

…of the position. + Skills in strategic planning, financial, statistical analysis, and managed care reimbursement. + Knowledge of FHS policies and standards, and

…benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record

…in on-going educational activities related to clinical knowledge, professional issues and the managed care environment. Salary Range USD $66.55 - USD $90.00 /Hr.

…range. **Introduction** Do you have the PRN career opportunities as a PreOp PACU Nurse PRN you want with your current employer? We have an exciting opportunity for

…and gynecological care . Both low risk and high-risk pregnancies are managed as outlined within practice guidelines. Develops and supports excellence in the

…settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual or Milliman Guidelines.

…b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of

…Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. +