…management, case management or quality assurance preferred + Previous experience in a managed care setting desirable + Requires an individual with highly

…discharge planning, utilization management, care management, performance improvement and managed care reimbursement + Knowledge of state and federal

…Option Care . Description of available services is accurate. Meets with managed care organizations and other accounts to facilitate education regarding

…treatment and services. 7. Using CHA approved protocols for telephone triage, the ambulatory care nurse determines the urgency and disposition based on data in

…Grievance and Appeals or related area such as medical or utilization management in a Managed Care setting required + Experience in a supervisory role preferred +

…include the electronic health record. + Monitor and maintain records related to the 29I managed care requirements for Foster Care , Residential Care and

…Days:** 8 hr,variable start time,occ holiday and weekend **Category:** Licensed Practical Nurse **Department:** Revere Primary Care **Job Type:** Full time

…rapidly expanding and we need great people to join our team. The Acute Care Nurse is responsible for achieving positive patient outcomes, managing quality of

…Center, we are committed to providing our patients with the highest level of care and attention. Our center is managed by HCA Healthcare's Surgery Ventures

…appropriate community agencies and organizations, the TRICARE Lead Agent office, and the Managed Care Support Contractor. + Maintain adherence to JCAHO, URAC,