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

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

…(LPNs)/Licensed Vocational Nurses (LVN). The LPN/LVN is responsible for providing clinical care to residents according to the nursing standards of practice, board of

…with minimum 2 years' experience in health plan quality improvement, managed care , or equivalent experience. **Required License, Certification, Association**

…BONUS IS AVAILABLE The **Clinical Manager** coordinates and oversees all direct care patient services provided by clinical personnel. + Develops, plans, implements,

…and Tricare programs and such other third-party payment programs, including managed care programs, in which LGMG participates. **PREFERRED QUALIFICATIONS:**

…needs + Must reside in state of Kentucky **Preferred** **Qualifications:** + Managed care /utilization review experience preferred + Experience in a behavioral

…other clinical and medical staff members in advocating for residents during Medicaid managed care and insurance company reviews. + Accurately completes medical

…insurance information utilizing internal or electronic sourcesObtains and documents managed care referrals, required pre-certifications and authorizations as

…outpatient or integrated behavioral health setting; understanding of Medicare, Medicaid, managed care and discharge planning. (3-5 years preferred) Excellent