…not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals, Managed Care and Revenue Cycle and Patient Access departments to

…of care consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members. + Develop and maintain professional

… care , social work, quality improvement or health coaching preferably in a managed care environment. 2+ years of experience work experience should be in

…(CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and payer environment preferred. **Overview** Founded in 1926,

…guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities

…Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional

…Mentors internal members of the health care team on case management and managed care concepts. + Understands and focuses on key performance indicators. +

…+ Care management and discharge planning experience preferred. + Managed Care experience preferred. + Pharmacy and pain management experience

…mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and

…job areas is highly preferred: case management, quality assurance, utilization management, insurance/ managed care industry, hospice/home health care , ED/ICU