…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

… care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral

…Center, we are committed to providing our patients with the highest level of care and attention. Our center is managed by HCA Healthcare's Surgery Ventures

…preferred. . Acute Care setting strongly preferred. . RN - Registered Nurse Upon Hire Required OR . RRT - Registered Respiratory Therapist Upon Hire Required

…additional state licensure as needed **Preferred Qualifications** Bilingual English/Spanish Managed care experience Case management experience **Education**

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

…is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field

…or Case Management as primary responsibility + 1 year of work experience in managed care organization or health plan (United, Molina, County Care