…insurance, and benefit information. + Verifying insurance and benefits for all Medicare, Managed Care and Private Fee for Service Plans. Securing authorization

…(BSN) or 1 year experience for non BSN HackensackUMC employees. + Knowledge of managed care principles. + Knowledge of Quality Improvement Program - New Jersey

…insurance, and benefit information. + Verifying insurance and benefits for all Medicare, Managed Care and Private Fee for Service Plans. Securing authorization

…responsibilities + Thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations + Ability to manage multiple

…individuals to appropriate services. + Develop and maintain a thorough knowledge of managed care and health insurance systems; provide other clinicians with

…and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PR** **E** **FE** **R** **RED L**

…clinical workflows, digital tools, and member engagement strategies. + Work with managed care organizations (MCOs) to align clinical interventions with

…that will work remote! Qualified candidates must have experience working in the managed care /insurance industry. The PAC Nurse is a telephonic position

…for all inpatient/outpatients. Obtains required forms and signatures and completes all managed care notification requirements. May be required to enter

…* Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service