…care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes

…strong preference for someone to be located in California and have California managed care experience. The Regional Director, Payer Strategy and Relationships

…knowledge base of health care delivery and case management within a managed care environment required. + Comprehensive knowledge of local, state and federal

Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Managed Care Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time

…. Ensures maintenance of Choice Health physician credentials with contracted managed care organizations and insurance companies. . Provides support

…patient care is maintained. **Qualifications** **Minimum Qualifications:** - 3 years managed care experience - 1 year minimum of UM Delegation Oversight

… care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral

…and education will be considered. + Three (3) years of experience in a health care or managed care environment and project management experience preferred. +

…Ministry's continuous performance improvement on clinical, financial, service, access, and managed care standards. Advocates for appropriate interventions to

…or exceeds standards set by the facility. + Educate patients on both clinical and managed care . + Function as an effective clinic team member. + Meet