…+ Experience with case management, discharge planning and patient education for adult acute care + Managed care experience + Experience in telehealth,

…to allow you to grow within the company. You plan, organize, and direct hospice care . The professional nurse builds from the resources of the community to plan

…care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes

…Restriction program. We are seeking a Registered Nurse with previous Case/ Care Management and managed care experience. Candidates with experience

…process and the ability to interpret and apply member contracts, member benefits, and managed care products are strongly preferred. + Prior managed

…around, wound care , psych patients who need to be medically managed . DMC Sinai-Grace Hospital is DMC’s largest hospital, offering a comprehensive heart center,

…internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. 7. May

…HMO, VA, Hospice, and Self-pay patients. + Provide support and/or coverage to the Managed Care Reviewer for commercial UR and continued stay requests. + Maintain

…SC, FL or GA + 2 or more years of Utilization Management (UM), Pre-Auth, and/or other managed care review experience + 1 or more years of acute and/or critical

…working knowledge of, utilization management, case-management, performance improvement, and managed care reimbursement. Strong organizational and time management