Primary Care Solutions provides industry-leading Primary Care services to Veterans. Veteran-led and clinician- managed , we deliver compassionate, expert

…projects and analysis of high cost utilization areas, unmanaged care , inappropriate utilization, inappropriate billing practices, and budgeting/finances reporting.

…projects and analysis of high cost utilization areas, unmanaged care , inappropriate utilization, inappropriate billing practices, and budgeting/finances reporting.

…Health provides a full range of care solutions including nursing home care , managed long-term care , assisted living programs, senior housing,

…services provided by clinical personnel. You will be responsible for ensuring that patient care is coordinated and managed appropriately in a cost effective and

…and bonus incentive program! JOB DESCRIPTION: Responsible for ensuring that patient care is coordinated and managed appropriately. Responsible for the clinical

…leaders to ensure ongoing compliance with utilization review guidelines.Collaborates with managed care department to code billable items for reimbursement.

…with organization guidelines, best practice standards of his/her profession and managed care standards.Provide crisis intervention, including emergency hospital

Risico Total Managed Care , Inc. (Risico) is seeking a qualified Medical Management Nurse to join the Risico Team in our Fresno office. We are very excited

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