Experience Required: 3 - 5 years of job related experience Prior job title or occupational experience: Case management, utilization review, clinical nurse Personal computer skills required, including use of Microsoft Word, Microsoft Excel, EPIC Experience in gathering information, monitoring indicators, and feedback mechanisms is required. Ability to research, evaluate information, analyze problems and make appropriate recommendations required Preferred experience: Knowledge of hospital reimbursement, third party billing, government rules and regulations Other experience requirements: Minimum 1 year experience with utilization management, case management and knowledge of InterQual and MCG OR 5 years' relevant adult clinical experience.
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