…to accommodate patient and provider needs. Inputs patient insurance and managed care plans, including prior authorizations, referrals, and pre-certifications.

…lists, etc. + Maintain active DPH, DEA, and professional license, hospital privileges, managed care credentialing and CPR training Qualifications: + Licensed by

…the policies outlined above. These may include changes in authorization, changes in managed care contracting, legislative changes to payment policy to support

…Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** +

…Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** +

…knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of

…practice revenue cycle management/oversight. Ensure practice alignment with all standards. + Managed Care /Payer Management - Support implementation of managed

…VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Conducts individual, group, and family and marriage counseling and/or

…in Nursing **Required Experience:** * Minimum two years clinical experience with focus in managed care , including disease or case management * UAS experience *

…overflow. + 20 bed ICU managed by the Department of Pulmonary and Critical Care Medicine. + EICU, used for night and ICU call coverage assistance, is managed