…delivery of patient care services, including but not limited to Medicare, Managed care , Medicaid, third party providers, challenges to current health care

…or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE,

…+ Strong computer skills and knowledge. + Experience in discharge planning, home health care , rehabilitative medicine, or managed care preferred. + Knowledge

…of terminally ill patients and their families. + Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, JCAHO, ACHC,

…knowledge of financial and reimbursement processes Medicare DRG payment, Case Rates, Managed Care Risk Contracting, etc. + Coordinates and conducts patient

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

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

…care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals

…needs and presents findings in a clear and concise manner. + Oversees Managed Return-to Work program. + Responsible for current and new employee immunizations,

…is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field