…with a broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. + For Government business only, LAPC

…other clinical and medical staff members in advocating for residents during Medicaid managed care and insurance company reviews. + Accurately completes medical

…clinical charts, engaging in pre-audits of charts to ensure compliance with OASAS and managed care standards. + Send weekly, monthly, and quarterly reports to

…affiliation with Dignity Health, which connects to the highest standard of health care available + A physician led, professionally managed practice + Strong

…Overview** **Employment Type:** Part time **Shift:** Rotating Shift **Description:** At MercyOne, health care is more than just a doctor's visit or a place to go

…is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field

…self- care management, and functional capabilities. RESPONSIBILITIES: + Oversee caseload of managed care members + Review and evaluate the member's assessment

…settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual or Milliman Guidelines.

…Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and payer environment preferred. **Overview** Arroyo Grande Community

…Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional