…Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery

…- Knowledge of utilization management principles and practices - Familiarity with managed care systems and reimbursement processes - Experience in Sub-Acute

…Management Team (UMT), serving as a Utilization Management liaison with managed care organizations, collaborating with Medical Staff, Business Office,

…experience managing staff in a healthcare environment + Two or more years of managed care or health plan experience preferred + Experience processing ambulatory

…portals. + Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid, Medicaid Managed Care and other payers' billing regulations for all programs. +

…2015/ 2018, and coordination of all efforts with State and City oversight Agencies, Managed Long Term Care (MLTC) plans and the community. The director manages

…to ensure that residents mental/emotional needs are being met and managed effectively + Coordinate palliative/hospice care including referrals to

…Full time **Shift:** Day Shift **Description:** _Trinity Health Grand Rapids- Critical Care , is an acuity adaptable, Multi-Specialty Unit, managed 24/7 by

…benefit program + Competitive compensation with annual performance reviews + Markets Managed Locally **Responsibilities** + Responsible for patient care under

…in collaborative care for these patients. Neurosurgical cases are primarily managed by our Neurology service, with after-hours cases managed by both