…+ Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. + Experience in working independently without significant oversight and

…Care Facilities and agencies, Durable Medical Equipment and Ambulance companies, managed care (insurance) personnel and physician office. Working Conditions,

…(ACM-RN), or UM Certification preferredAble to apply clinical guidelines to ensure progression of care . + Knowledge of managed care and payer environment

…must be able to work independently in a high-volume environment. Candidates with managed care organization (MCO) and NYS Medicaid guidelines experience are

…team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for

…business, or healthcare-related roles. Prior experience in medical staff services, managed care , or provider enrollment preferred. Other Qualifications Strong

…experience in healthcare sales and marketing required.** + **Knowledge of managed care and physical rehabilitation required.** + Strong interpersonal,

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

…experience required + At least 2 years of experience with Federal Medicare/Medicaid and Managed Care reimbursement system management in working with the MDS and

…units and treatment codes for Medicare B billing, and per facility protocol for Managed Care clients. + Completes daily treatment times in AOD system and