…and provides clinical data from patient charts for insurance company queries. Provides managed care forms and/or patient education tools in admission chart, as

Nurse Clinician (RN) - Outpatient - Estelle Unit...UTMB Health Requisition # 2401340 The mission of Correctional Managed Care is to address the healthcare

…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

…including pre-registration and insurance verification. + Stays informed of changes in managed care and communicates procedural and financial impact to admitting

…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced

…new services and/or programs. Interfaces and coordinates services with Admission, Finance, Managed Care , Medical Records, Home Care , Rehabilitative and

… plan as needed. Contact the physician with changes in the patient condition. Managed Care patients o Update case management department with patient status in

…working with developmental disabilities population + Medicare and Medicaid experience + Managed care experience **SKILLS** + Working flexible hours to meet

…Experience: + Minimum two years of experience in health related field required + Care management and/or managed care experience preferred + Proficiency in

…benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record