…knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of

…Acts as a liaison between the Emergency Department, specialists, community resources and managed care /insurance plans on behalf of enrolled patients to ensure

…required. + Behavioral health experience preferred + Three years of experience in a managed care environment preferred. + General knowledge of best practices in

…Analyst I to join in leading the organization forward. McLaren Health Plan (MHP) is a Managed Care Organization dedicated to meeting the health care needs of

…Patient Care UTMB Health Requisition # 2300506 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations

…monitor appointments. + Schedule outpatient procedures. + Apply third party and managed care policies, procedures and guidelines. + Obtain insurance

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

…manner and in compliance with established standards of the State of Illinois, Managed Care Organizations, related contracts, and UnityPlace. . Assist clients

…with and to provide education and training to DCFS staff and stakeholders regarding managed care , and to engage in immediate problem resolution with Contractor's

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