…/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. Ensures the continuous and

…acute care setting. + Minimum 2 years "telephonic" Case Management experience with a Managed Care Company. + Managed Care experience. For candidates

…in northwest Ohio to receive this honor. Scope of Service: The Registered Nurse provides nursing care to individuals and groups which require specialized

…of all health care facility types for which the Division of Managed Care and Health Quality, Health Facility Compliance is responsible. Performance of

…Wage determinations will be based on related experience._** We are looking for a **Registered Nurse - RN** to join our team in ensuring that the safety and health

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

…3-5 years nursing experience and knowledge of the utilization review process. Prior managed care and/or Medicare experience is preferred. + Strong organization

…evaluating health reform initiatives with a primary focus on quality oversight of Managed Long Term Care (MLTC) plans. These activities will require knowledge

… and/or supervisor as needed regarding resident changes in condition. + Delivers nursing care under the direction of the registered nurse and/or supervisor as

Location: Greenspring Village by Erickson Senior Living We are hiring a part-time Home Care LPN OR RN - The nurse in Home Care provides nursing care