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

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

…requirement. Remains current on referral policies and procedures, payer requirements and Managed Care Matrix, and portals and determines financial responsibility

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

…3 years managerial experience and leadership of a Case Management staff within a managed care organization or hospital environment. * Knowledge of NCQA's Case

…criteria and documentation necessary for reimbursement; including Medicaid, Medicare, and Managed Care . Demonstrates leadership in the professional practice of

…skill in problem solving, critical thinking, and negotiation. * Working knowledge of reimbursement issues ( managed care , utilization review, etc.) preferred

…process including pre-registration and insurance verification. Stays informed of changes in managed care and communicates procedural and financial impact to

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

…providers (physicians, nurse practitioners, and physician assistants) in provision of patient care . Qualified candidates must have at least 6 months of previous