…application of positive language principles + Knowledge of Medicare, Medicaid and Managed Care requirements + Progressive knowledge of community resources,

…Post-Acute Care , Utilization Management, and case management within a managed care environment. Comprehensive knowledge of laws, regulations and professional

…Review and maintain quality of care complaints when escalated to the CMS Managed Care Plan Central Office for clinical reasons related to Population Health.

…with HIV patients with a focus on public health) required + Strong knowledge of health care delivery systems, managed care , and patient care required +

…by ANCC or other qualifying agency in area of specialty required (Acute Care NP) + Valid Certified Registered Nurse Practitioner license and Certificate

…social work. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required License,

…setting, experience working in provider facing positions with knowledge or experience in managed care settings, treatment planning, assessments, and work in

…implementation, and evaluation of the delivery of safe and effective person-centered care in their assigned neighborhood. The Clinical Manager will also facilitate,

…nursing facilities including the Alexian Village, ambulatory care facilities, home health care , physician practices, managed care services, and 4 cancer

…experience as Clinical Social Worker. Basic understanding of Medicare, Medicaid and managed care . Discharge planning or home health background. Excellent verbal