Academic Intervention, Adjudication, Administrative Policies, Analysis Skills, Case Management, Chronic Disease, Clinical Data Collection, Clinical Information, Clinical Study Publications, Clinical Support, Coaching, Communication Skills, Compensation and Benefits, Customer Support/Service, Data Entry, Database Management Software/Systems (DBMS), Discharge Plans, Disease Prevention and Control, ERISA (Employee Retirement Income Security Act of 1974), Establish Priorities, Health Plan, Healthcare Providers, Interviewing Skills, Maintenance Services, Managed Care, Member Orientation, Microsoft Access Database, Microsoft Excel, Microsoft Office, National Committee for Quality Assurance (NCQA), Needs Assessment, Negotiation Skills, Network Systems, Nursing Credentials, Organizational Skills, Patient Care Authorizations, Patient Education, Persuasion Skills, Presentation/Verbal Skills, Psychology, Quality of Care, Registered Nurse (RN), Resource Management, Risk, Social Work, Spreadsheets, Subrogation, Treatment Plan, Utilization Review Accreditation Commission (URAC), Word Processing, Writing Skills