…Through coordination with the medical team, ensures clinical practice compliance with Managed Care /HMO, SBHC contract and Federal and State guidelines.

…Working knowledge of URAC and NCQA. * 2+ years' experience in a UM team within managed care setting. * 3+ years' experience in clinical nurse setting

…of terminally ill patients and their families. + Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, JCAHO, ACHC,

…WHAT WE DO At Ageless Men's Health we focus on safe and medically managed testosterone replacement therapy, weight management, skin care and concierge medicine

…years' experience in home care or hospice, required. + Previous experience in managed care , infusion care , and case management and previous home

…WHAT WE DO At Ageless Men's Health we focus on safe and medically managed testosterone replacement therapy, weight management, skin care and concierge medicine

…with patients, families, providers, other caregivers and disciplines to create a structure of managed care for complex patients. Quality Care Managers help

…planning, utilization management, Care Management, performance improvement and managed care reimbursement. + Understanding of pre-acute and post-acute

…**Preferred Qualifications** + Motivational interviewing skills + Call Center experience + Managed Care experience **Education** High school diploma or GED **Pay

…Option Care . Description of available services is accurate. Meets with managed care organizations and other accounts to facilitate education regarding