…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced

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

…All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state

…All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state

…information utilizing internal or electronic sources. + Obtains and documents managed care referrals, required pre-certifications and authorizations as necessary

…Clinical Documentation Specialists (CDS) across all HCS entities that are owned or managed that have opted into shared services. This position reports to the HCS

…other clinical services provided, and ensures that personnel issues are managed in compliance with contractual agreements, and supports positive employee-management

…for each person served. + Maintains a functional understanding of funding, managed care requirements, and licensing requirements for each person served.

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

…order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations. + Assess