…delivery of patient care services, including but not limited to Medicare, Managed care , Medicaid, third party providers, challenges to current health care

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

… Care Management UTMB Health Requisition # 2403387 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient

Location: Ashby Ponds by Erickson Senior Living Join our team as the Wellness Nurse is responsible for the monitoring of the health and wellness of our residents.

…and timely manner. + Maintains knowledge of services that are covered by managed care organizations, private insurances, and government payers. + Coordinates all

** Nurse Appeals - Licensed RN Nurse **...Requires minimum of 2 years of experience in a managed care healthcare setting; or any combination

…a professional nursing position responsible for managing and overseeing essential aspects of care for clients with tuberculosis who are managed in the

…with Medcompass **Skills:** + MUST HAVE MEDCOMPASS or ASSURECARE exp. + MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience,

…setting, concurrent review or prior authorization. **Preferred Qualifications** + 1+ years Managed Care (MCO) preferred. + 1+ years demonstrated experience

…of Duties This position is responsible for managing and overseeing essential aspects of care for clients with tuberculosis who are managed in the Tuberculosis