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

…major roadways. Offering 198 apartments with Independent Living, Assisted Living, and Memory Care services, our community is managed by Ebenezer. Join an

…policy **Preferred Qualifications** + Case Management and Discharge Planning experience + Managed Care experience + Microsoft Office experience **Education** +

…preferred. **Required Experience** + 3-5 years clinical nursing experience, with 1-3 years Managed Care Experience in the specific programs supported by the plan

…+ Develops and monitors revenue-generation procedures and objectives for programs managed , including achievement of revenue goals. + Develops and implements

…payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and

…the program through collaborative management of fiscal operations, (budget, reporting, and managed care contract terms) and participating in business development

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

…for productivity management to assigned supervisor + Notify each practice, physician, and/or managed care client of all encounters with patients, parents, or

…consistent communication and collaborate with all care team members for comprehensive care planning. + Ensure all cases are managed according to established