…associated unreimbursed claims. * Is assigned to one or more centers based on Managed Care case volume. The Dedicated Case Manager performs responsibilities at

…/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. Essential Functions +

… care needs. The Care Navigator, under the guidelines of the managed care department (Capitation Services), works closely with the primary and specialty

…broad range of experience with complex psychiatric/substance use cases required. * Prior managed care experience required. * For URAC accredited areas, the

…three (3) years of RN experience. Clinical expertise in geriatrics preferred; managed long term care experience preferred. Bilingual Spanish. Compensation:

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

…Effectively managing key relationships with hospital therapists, physicians, key hospital staff, managed care providers, rehab suppliers, and other key referral

…with a broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. + For Government business only LAPC LAMFT

…or equivalent combination of education and experience. **Preferred Qualifications:** + Managed care experience + Healthcare management experience, including case

…+ Expert level knowledge of quality and care management standards within a health care and/or managed care environment + Demonstrated ability to work and