…social work. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required License,

…+ Strong computer skills and knowledge. + Experience in discharge planning, home health care , rehabilitative medicine, or managed care preferred. + Knowledge

…of terminally ill patients and their families. + Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, JCAHO, ACHC,

…BeiGene. + An expert understanding of the health care delivery system, including the managed care arena and its impact on patient care , regional medical

…care . Provides mentoring with staff in understanding and working in the managed care environment, developing capabilities of all team members and

…the health care industry including hospital settings, physician practices, and managed care organizations. Knowledge and understanding of NCQA and TJC

…+ Excellent customer service and problem-solving skills. + Thorough knowledge of managed care operations, hospital and physician practice operations and

…preferred. + Familiar with CMS 1500/UB04 claim form completion, knowledge of Medicare, Managed care and commercial insurance products and plans. + Knowledge of

…**1)** Expand current knowledge of all third party requirements including all managed care contracts and state and government regulations, to ensure

…Customer- facing Service on phone or face to face; customer service and/or managed health care , Basic Diet and nutrition knowledge, time management,