…a manner that others can comprehend and retain information Must understand managed care and insurance contractual arrangements Must possess deductive reasoning

Tacoma Washington - Direct Hire Opportunity with our large managed care client. You get to showcase your skills by providing care management duties to

…citizenship Experience: Minimum four (4) years Supervisory/Management experience Two (2) years Managed Care experience Three (3) years Clinical experience in an

ONE year contract employment UTILIZATION REVIEW NURSE MANAGER Opportunity with our large managed care health insurance client based in their Mason OH office.

…time management and organization skills. Strong research and analytical skills. Knowledge of managed care preferred. Requires two to four years clinical practice

…and procedures. Qualifications Education Level RN-Bachelor's Level Degree - NURSING Experience Required: Managed Care - 5 years, Medicare - 5 years Preferred:

…criteria/guidelines. Additionally, the incumbent will use his/her clinical judgment in developing a managed care plan. The position is expected to make benefit

…Authorization Requests. Works with UM Coordinators. Required Skills Current knowledge of Managed Care and Health Plan Division of Financial Responsibilities

…Degree Medical Administrative background for one (1) year in healthcare, medical management or managed care Bilingual is a plus Texas Medicaid experience is a

…as assigned. REQUIRED QUALIFICATIONS: Must have high school diploma or equivalent. Managed care experience in preferred. Knowledge of Medicare and Medicaid