…program development. At leastfive years of management experience preferred. Experience in managed care setting preferred. Ability to implement medical policies,

Job Title: Remote National Behavioral Health Medical Director Managed Care Category Temporary: Physicians Industry: Healthcare City: Charles Town State: WV

…Monday - Friday from 9am - 6pm PST Preferred Qualifications: Previous Managed Care experience Previous Case Management experience Previous telephonic outreach

…calculated contractuals are accurate. Provides ongoing regular updates and information to Managed Care analyst regarding contracted terms when discounts are

… Care , Care Coordination, Home Health, Complex Case Management, Managed Care , Bilingual, Winchester, Frederick County, Virginia, UHG, UnitedHealth Group,

…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

…meets health care needs of patients. Requirements BSN Preferred 3-5 years acute care /clinical experience; 2-3 years managed care and/or care

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

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

…within the service area. * Minimum 3 years'' clinical experience with focus in managed care , including disease or case management. Magellan Health Services is