…knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of

…leaders. Participates in interdisciplinary healthcare teams to facilitate the integration of managed care concepts within the daily practice standards. Acts as

…an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of

…calls from numerous clientsranging from the general community to physician practice clients, managed care members, and Home Care patients.Performs health

…medical doctors, orthopedic surgeons and functional medicine doctors. Provides emergency care and crises management for sport related injuries. Coordinates care

…provide personal cares to improve and/or maintain the senior assisted living memory care patient's physical and emotional well-being. This direct care schedule

…hair care , feeding, toileting, and transfers/lifts. Under direction of Nurse , provides health related services as needed such as; passing medication, glucose

…until 7pm EST **Preferred Qualifications** -Compact RN License -Certified Case Manager (CCM) - Managed Care experience -Home Care experience -Telephonic case

…APR-DRG; prior clinical or coding supervisory or management experience in managed care environment. Excellent communication, presentation and written skills

…health services + Excellent patient assessment skills + Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, ACHC, and