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

…+ 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

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

…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

…will be based on similar experience. We are looking for a Licensed Practical Nurse (LPN) to join our TCU and LTC team! This position performs a variety

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