…resource management. * Maintains knowledge and understanding of CMS regulations, Medicare/Medicaid, managed care and other payer regulations and benefit limits.

…including pre-registration and insurance verification. * Stays informed of changes in managed care and communicates procedural and financial impact to admitting

…* Functions as a liaison for management staff, administration, physicians, managed care companies, community organizations, and other customers. *

…* Functions as a liaison for management staff, administration, physicians, managed care companies, community organizations, and other customers. *

…including pre-registration and insurance verification. * Stays informed of changes in managed care and communicates procedural and financial impact to admitting

…providers for the purpose of determining continued eligibility of benefits for managed care patients. * Assesses and coordinates discharge planning needs

…(ie, home health, inpatient, physician office, clinic) required. * Experience with managed care and payer/provider requirements preferred. * Current licensure as

Summary The VP of Managed Care Contracting is responsible for direct revenue contract management including negotiation, analysis interpretation, implementation,

…Universal Bed Model is an innovative care delivery system tat allows patient care to be managed in one setting from post-operation to discharge. PATIENTS WE

…, or community setting and 3+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare