…* Work Experience: Case management experience with knowledge of utilization management and managed care reimbursement. *PHYSICAL REQUIREMENTS:* * Must be able to

…**Preferred Qualifications:** - Multi state licensure - Certified Case Manager (CCM) - Managed Care experience - Hospital experience in ICU, CCU, Step Down,

…**Preferred** **Qualifications** + Outpatient behavioral health experience highly preferred + Managed care /utilization review experience + Experience in a

…States** Allied Health UTMB Health Requisition # 2302003 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient

…behavioral health, geriatric and/or developmental delay disciplines. + Knowledge of the managed care system, homeless services and community support system

…the completion of the Resident Assessment (Minimum Data Set), including the Care Area Assessment Process (CAAs). + Coordinates the development of the comprehensive

…in a timely manner and in accordance with Department of Children and Family (DCF), managed care , probate court, JCAHO and other standards with which program must

…CPT/ ICD-10 codes to patients and referring physicians' offices as needed for managed care providers. Answers basic insurance questions related to mammography. +

…plans related to mental health and substance abuse across the continuum of care . Experience with managed care , case management, utilization management,

…decision-making skills. + Knowledge of insurance regulations, specifically Medicare, BC/BS, managed care plans and workers compensation carriers regarding