FEATURED JOBS
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…seeking and obtaining sufficient information/education necessary to function effectively in the managed long term care setting. + Participates in departmental
…Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional
Largest national Medicaid Managed Care Organization is looking for a REMOTE RN Case Manager to join their growing team! Opportunity to make an impact with an
…patients, and other business contacts in an appropriate and professional manner. Skills: Patient care , Managed care , ambulatory care , ambulatory clinic,
…Social Work support + Bi-Lingual (English/Spanish/Creole) + Medicaid Program experience + Managed care experience + Experience working with Chronic homelessness,
…Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals.Additional Duties (where
Utilization Review Nurse Coordinator (40 Hour)
State of Connecticut, Department of Administrative Services
…for one (1) year of the General Experience. PREFERRED QUALIFICATIONS + Experience applying managed care principles to the provision of care . + Experience
…Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required
…verify patient demographics, insurance and other pertinent information. + Obtain managed care referrals and/or authorizations. Provide patient with information
… care more personal, convenient and affordable. Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years of experience managing the