…and recommend changes to policies, and establish procedures that affect the managed organization. + Basic business knowledge includes annual planning, goal setting,

…service the network's membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician network

** Managed Care Coordinator Clinician Non-RN** **Location:** Within 50 miles of a Pulse Point location **Hours:** Monday - Friday, between the hours of 9 am - 6

…Medical Assistant experience. 6 months of experience processing authorizations at a managed care /health plan setting. Skills Required: Knowledge of medical

…of care consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members. + Develop and maintain professional

…not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals, Managed Care and Revenue Cycle and Patient Access departments to

…of care consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members. + Develop and maintain professional

… care , social work, quality improvement or health coaching preferably in a managed care environment. 2+ years of experience work experience should be in

…in the market to identify and leverage business opportunities + Analyze impact of managed care in the territory and its effect on prescribing decisions, and

…(CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and payer environment preferred. **Overview** Founded in 1926,