…PreferredOther Job RequirementsResponsibilitiesMinimum 3 years clinical experience with focus in managed care , including disease or case management.Home Care

… and medical necessity according to criteria established by TMF, Medicare, Medicaid, Managed Care agencies, and Clinical Path resources [Interqual, M&R]. Such

…Other Job Requirements Responsibilities Minimum 3 years clinical experience with focus in managed care , including disease or case management.Home Care ,

…required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care .Responds to incoming telephone calls and (per provider instructions) calls in

…care management, utilization review or discharge planning experience. * Preferred: Managed care experience. Knowledge, Skills, and Abilities * Computer

…of the practice locations, including operations, marketing, finance, assisting in managed care /third party contracting when requested, physician compensation and

…, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare

…, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare

Thomas Allen's Managed Care Division Currently has an Opening in the Exciting Field of Contracted Care Coordination! LOCATION: Edina, MN HOURS AVAILABLE:

…Ensure Clinical coordination for compliance with PPS, PDPM, Monthly triple check.Work with the managed care team to ensure MCO contracts are being followed to