…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

…Patient Care UTMB Health Requisition # 2406102 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations

…(LPNs), or Medical Assistants (MAs).Sheridan Health Services is a multi-site, nurse - managed federally qualified community health center, funded through the

…through payment collection, cash handling, processing of insurance eligibility and managed care information. Demonstrates a high level of understanding

…Minimum: Knowledge of health care issues, trends, legal compliance and managed care with emphasis in all components and nursing operations. Ability

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