…Skill Sets:** + Experience in medical management, utilization review and case management in a managed care setting. + Knowledge of managed care products

…record and make copies of new insurance cards + Collect appropriate co-payments for managed care members, post payment and issue receipt + Collect referrals,

…Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional

…**Knowledge, Skills and Abilities** + Must have a strong working knowledge of managed care and community resources and resource management relating to complex

…preferred - Previous management experience in a union environment preferred - Prior managed care or integrated delivery systems experience preferred - Master's

…payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and

…or exceeds standards set by the facility. + Educate patients on both clinical and managed care . + Participate in clinic and network task forces as requested and

…Uses creativity in the delivery of services and products in a highly competitive managed care market. Ensures that planning within the departments is done in

…unrestricted RN License in Texas . 2 to 5 years of experience in a managed care setting . Knowledge of the states federally funded healthcare programs: Medicare,

…discharge planning, utilization management, care management, performance improvement and managed care reimbursement + Knowledge of state and federal