…all on-site as well as others available at the main campus in Duluth + Nurse -on-line triage 24/7 + EPIC (electronic medical records) in clinic and hospital + Admit

…specifications, required + Six or more years of clinic or IPA and/or managed care experience, preferred + Knowledge of Medicare Advantage billing/claims

…coordinating follow-up care to the patient/family + Understands payer principles, terminology of managed care , and the goals of managed care .

…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced

…- Verify insurance through all resources - Obtain all necessary paperwork from Managed Care companies including authorizations and denials for admission -

…personnel as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure

…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced

…Readiness and flow of all cases for the particular Surgical Service is managed by the Surgical Specialty Coordinator who is also responsible for coordination of

…that fits their life - for life - and empowers their passion for patient care . Apply today for our Operating Room Nurse Part-Time opportunity. **Job Summary and

…Using approved criteria, conduct admission and concurrent chart reviews for Medicare/Medicaid/and managed care payers within appropriate time frame to ensure