…pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral.

…minimal opportunity for deviation. **Job Functions** + Prepares and processes all managed care referral paperwork. + Gathers pertinent information from

…practice recommendations, professional development and dynamic team interactions about improving care processes to optimize outcomes. Promotes a learning and safe

…Certification (ANCC, HIMSS) required. + Licensed clinician such as nurse , physical therapist, occupational therapist, pharmacy technician, dietitian, respiratory

…staff of Board Certified Pediatric Hospitalists + After-hours/weekend pediatric urgent care location on AnMed's North Campus + Excellent after-hours nurse

…they are discharged, managed by Alaris Health. Our hospital provides acute care , long-term acute and rehabilitative care , as well as outpatient services to

…Competent computer and technology experience Basic understanding of Medicare, Medicaid and managed care . Required Education: Graduate of an approved School of

…+ LTSS experience + Case management and/or discharge planning experience + Managed Care experience + Medicaid and Medicare experience + Experience

…Omnibus Budget Reconciliation Act (COBRA) and abuse/neglect reporting. + Communicates with managed care organizations to obtain insurance pre-authorizations in a

…and coordination of the RAI process. Provides Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and