FEATURED JOBS
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…Minimum of 5 years of recent care management experience in a hospital or managed care setting, such as a health insurance environment and/or experience as
…of medical terminology preferred + Basic knowledge of current healthcare benefits and managed care insurance plans, preferred + Windows Based Computer skills:
…At least 4 years of recent care management experience in a hospital or managed care setting, such as a health insurance environment and/or experience as
…Certification as a Case Manager is preferred. + Participation in the American Association of Managed Care Nurses preferred. + Prior managed care
…1115 waivers and home and community-based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review
…(3) years nursing experience in home care , case management, discharge planning or managed care + Minimum of one (1) year experience working with a frail
…, or community setting and 3+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare
… or community setting strongly preferred. -CCM strongly preferred. -Knowledge of healthcare and managed care preferred. -Knowledge of healthcare and managed
…/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. + Assesses internal and
APP - Pediatric Nurse Practitioner | Pediatric Primary Care & Acute Care
Sanford Health
…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced