…Strong understanding of and concurrence with evidence-based medicine (EBM) and managed care principles Supervisory skills, including clinical mentoring and

… management programs to complex chronically ill patients enrolled in large health plans and managed care programs. Assignment Capsule As RN Home Care Nurse

…list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care

…time frame (within 24 working hours of admission) with concurrent daily reviews for managed care companies, and one to three days for concurrent review for

…continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are

…of Medicare and Medicaid laws and guidelines, Medicare Conditions of Participation, managed care contracts, and other legal and regulatory requirements as

…unrestricted CA clinical license. Knowledge, Skills & Abilities: Knowledge of managed care and state specific expertise preferred.Demonstrated experience

…care , or community setting. 1+ years of case management experience in a managed care setting. Knowledge of utilization management Key Words: Case Manager,

…located in Foster City, CA! Top Skills You Should Possess: Previous experience in managed care What You'll Be Doing: Initiate and coordinate a multi-disciplinary

…to Home and Community-Based Services for clients in Health and Recovery (HARP) managed care plans in accordance with DOH requirements.As assigned, completes at