…hospital criteria. 2) Thorough knowledge of JCAHO, CMS, third party payors, managed care organizations and state and federal regulatory standards/requirements.

…in contracting issues.Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials

…as available) to payer audiences at national, regional and/or local managed care organizations, achieving optimal formulary status and utilization.Assist

…10+ years of clinical nursing, quality improvement, and management experience in a managed care setting. Thorough knowledge of a specialized or technical field

Triage Staffing is seeking an experienced Cardiovascular Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Falls Church, VA. Shift: Inquire

…in contracting issues.Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials

…hospital criteria. 2) Thorough knowledge of JCAHO, CMS, third party payors, managed care organizations and state and federal regulatory standards/requirements.

…in contracting issues.Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials

…in contracting issues.Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials

…requests for medical information from healthcare professionals, as well as managed care organizations, payers and other formulary decision makers.Contributes