Graduate of an accredited program required:
- LPN or RN
- Master of Social Work with licensure as required by state regulations;
- Bachelor of Social Work with licensure as required by state regulations
- Healthcare professional licensure required as Registered Nurse, LPN or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.
- One year of experience in healthcare setting.
- Experience in case management, utilization review, or discharge planning a plus.
- Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
- Knowledge of Medicare benefits and insurance processes and contracts.
- Knowledge of accreditation standards and compliance requirements.