…section + Bachelor's degree preferred **WORK EXPERIENCE** + Two years as a registered nurse in an acute care hospital setting + Bed placement experience highly

…+ Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan. + Facilitate and support new IA Nurse

… Care Management UTMB Health Requisition # 2401368 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient

…Omnibus Budget Reconciliation Act (COBRA) and abuse/neglect reporting. + Communicates with managed care organizations to obtain insurance pre-authorizations in a

…hospital, referral sources and payors + In EPS, maintain understanding of managed care contracts, insurance benefits, limitations, policies, procedures and forms

…capabilities and capacity for Product Lines/Specialties assigned. Proactively collaborates with Managed Care Support Contract (MCSC), Product Line Leaders, RM,

…hospital, referral sources and payors + In EPS, maintain understanding of managed care contracts, insurance benefits, limitations, policies, procedures and forms

…guidelines pertaining to EMTALA/COBRA and abuse/neglect reporting. + Communicates with managed care organizations to obtain insurance pre-authorizations in a

…+ Functions as a liaison for management staff, administration, physicians, managed care companies, community organizations, and other customers. +

…care over time. BILHPN-ACO will provide services in collaboration with contracted Managed Care Organizations as well as Community Partners for Behavioral