…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

… care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral

…+ Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working

…and review agreements and other documents, including: + Network collaboration agreements + Managed Care contracts + Complex software, SAAS, and other technology

…+ Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working