…for Ohio's Medicaid program - focusing on the individual rather than the business of managed care . The goals of the next generation of Ohio Medicaid are:

…management by tracking and monitoring individual process and outcome measures for eligible managed care and Medicare patients who have chronic diseases such as

…the status of Medical Group physicians in relation toparticipation in the various managed care plans.* Establish and implement systems to adhere all

…Report Preparation and KPI analysis related to Medicare Advantage, commercial, and Medicaid managed care plans in MississippiWorks with management to analyze and

…to the Staff. Ensures that all admissions and registrations are in compliance with managed care , Federal and State guidelines and rules. Uses multiple computer

… care by providing education and advocacy related to New York State Medicaid managed care programs, as well as seeking insurance authorization for care .

…and procedures. Identify and track all Advance Care Directives discussions and placement. managed care nurse, managed care rn, nursing, rn, nurse,

…Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options

…patients, Surgery Scheduling, Customer Service, Financial Counselors, Clinical Resource Counselor/Utilization Review, Managed Care offices, Managed Care

…service delivery systems and third party reimbursement; knowledge of managed care environment.Licensure/Certification: CPR preferred; CPI Certification