…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,

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

…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