…+ A good understanding of AHCA regulations, NCQA and Medicaid guidelines + Managed care experience + Certified Case Manager (CCM) + Bilingual Creole

…opportunities that will positively impact the rest of your healthcare career. Licensed Practical Nurse 's are valued members of the care team that are focused on

…policy development./ * /Stay informed on Medicare, Medicaid, OBRA, PASAR, HMO, and managed care regulations./ * /Engage in public relations and marketing,

… Care Management UTMB Health Requisition # 2502630 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient

… needs, use of community resources and responsibilities of membership in managed care . + Completes necessary paperwork, prior authorizations and/or scheduling

…reviewing Medicare and Medicaid required documentation. + Responsible for Medicare and Managed Care determination and ongoing documentation of same including

…is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field

…as a Registered Nurse in a physician practice or an acute care setting. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, Banner Home

… Care Management UTMB Health Requisition # 2500598 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient

…Maintains current information on community resources, third party payors, and managed care environment. Knowledgeable of changing rules/regulations, and