…management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical

…condition is worsening and how to respond. Requirements: BSN Preferred 3-5 years acute care /clinical experience; 2-3 years managed care and/or care

…willingness to perform other duties as assigned Requirements: BSN Preferred 3-5 years acute care /clinical experience; 2-3 years managed care and/or care

Managed Care Liaison Job Details Job Location Albany-Academy Main-PCFC - Albany, NY Position Type Full Time Education Level High School/GED Salary Range $20.00 -

…, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare

…client's care to effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of the Care Team

…The Account Manager III is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider accounts

…Success + Bachelor of Social Work or Psychology OR LVN, LPN with 1 year experience in managed care systems OR RN OR 3 years care coordination for a state

…least 2 years CM experience in a home health, hospice, or HMO setting. Preferred: Managed Care experience performing UM and CM at a Participating Physical Group

…clinical, acute care , or community setting. Knowledge of healthcare and managed care preferred. Licenses/Certifications: Current state's RN license. For New