…proper documentation and coding in order to appropriately identify and capture the managed care conditions for proper risk adjustment. Position will require

…Responsibilities: Functions as a liaison for management staff, administration, physicians, managed care companies, community organizations, and other customers.

…Certification as a Case Manager is preferred. Participation in the American Association of Managed Care Nurses preferred. Prior managed care experience

…other health care networks. The CDCM participates, as appropriate, in developing managed care strategies and plans for the hospital. This position will

…Medical Statistics, Biostatics, Epidemiology, Case Management, Certified Case Manager, Managed Care , Insurance, Health Plan, CCM Pulmonary, Pulmonology,

…to make clinical decisions, which will enhance the quality of patient care and contain health care costs.Responsibilities:Review requests for authorization for

…OR REGISTRATION PREFERRED: Certification specialty preferred in Utilization Management, managed care or other applicable professional certification. SUPERVISORY

…years clinical practice experience -Intermediate or higher level of proficiency with managed care -2+ years Quality Management experience - Excellent telephonic

…2+ years of clinical nursing or case management experience in a clinical, acute care , managed care or community setting. 2+ years experience working

Senior Financial Analyst- Managed Care Modeling Role PurposeContributes to the overall financial performance of the company by following established policies and