…related to assessing the efficiency, effectiveness and quality of the delivery of managed care services. + Prepares monthly performance reports with assistance

…please visit the main job search page and under the Job Type filter, select New Nurse Experience. *1 Year of Acute Care RN Experience is required and a 24

…Utilization Management or Case Management at CareFirst BlueCross BlueShield, or similar Managed Care organization or hospital preferred. + BSN/MSN Degree.

…Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred. + Knowledge of managed care and payer environment preferred. + LA City Fire Card

…Wearing identification which clearly identifies the nurse as a registered nurse when providing direct patient care unless wearing identification creates a

…attending ob/gyn and/or family medicine physicians + Through collaboration with the charge nurse , ensure that unit resources are managed in a clinically

…reimbursement + Detailed knowledge and understanding of Texas Medicaid Program and Texas Medicaid Managed Care , as well as related Federal and State standards +

…Utilization Management or Case Management at CareFirst BlueCross BlueShield, or similar Managed Care organization or hospital. + Demonstrated leadership skills.

…Experience and knowledge in discharge planning - preferred + Possess knowledge of managed care insurance, governmental health programs, HMO's and their impact on

Advanced Registered Nurse Practitioner or Physician Assistant - Urgent Care **Grand River Medical Group** 1 Positions ID: 1350442 Posted On 11/07/2024 **Job