• Completion of Nurse Practitioner / Physician Assistant accredited program
• Current state NP / PA license
• Knowledge of CPT, ICD-9 and HCPC codes
• Proven knowledge of clinical standards of care
• Proven knowledge of Windows 2000 and MS Office Word Processing software
• Proven ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
• Proven ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent
• Proven ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
• Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Landmark Motor Vehicle Safety policy

Preferred Qualifications:

• 2+ years of clinical experience
• Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
• Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems

Physical Demands:

• While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel
• The employee is required to stand; walk and reach with hands and arms
• The employee must occasionally lift and/or move up to 10 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus