Top Managed Care Executive jobs in Akron, OH

• Previous admissions experience required; Managed Care Precertification experience preferred.
• Must have knowledge of Medicaid, Medicare, and Managed Care procedures, as well as laws, regulations, and guidelines that pertain to skilled nursing.
• Knowledge of Corporate Business Management
• This position must work flexible hours
• Ability to work independently and as a team
• Superior customer service skills, including the ability to resolve conflict
• Good organization skills
• Ability to communicate effectively verbally and in writing
• Must be respectful and a team player
• Must maintain a professional appearance and demeanor
• Must maintain a high level of confidentiality in all aspects of the job
• Must be able to deal tactfully with team members, other staff, residents, and family members, visitors, government agencies, and the general public.
• Must have the ability to make independent decisions when circumstances warrant such action.
• Must be skilled at multitasking and have a sense of urgency to perform time sensitive processes.
• Must possess basic computer skills.

• Perform all pre-certification processes for Admission.
• Establish and maintain a positive and professional relationship with current and potential Managed Care providers and work to ensure patient and provider satisfaction. 
• Communicate with Interdisciplinary team daily to process managed care referrals for precertification approval.
• Organize and maintain documentation of clinical records for submission to managed care organizations.
• Maintain up-to-date financial knowledge of skilled operations, managed care contracts and provide accurate documentation of all services in order to assure accurate reimbursement from all payor sources.
• Demonstrate excellent communications, negotiation, and public relations skills.
• Demonstrate autonomy, organization, assertiveness, flexibility, and cooperation in performing job responsibilities.

About Us