…**Minimum one year of experience with Utilization Review (UM) in a managed care environment** + **Cardiology and Oncology Healthcare** **experience/knowledge** +

…Minimum of three (3) years of experience in a hospital, a physician setting or a Managed Care Organization as a medical coder. Minimum of five (5) years ICD-10

…United States Social Service UTMB Health Requisition # 2502364 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient

…leaders. Participates in interdisciplinary healthcare teams to facilitate the integration of managed care concepts within the daily practice standards. Acts as

…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced

…or affiliated hospitals, a nursing home, ambulatory care facilities, home health care , physician practices, managed care services, and a cancer center.

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

…with Medicare members with diabetes, CHF, CKD, post-acute care , hospice, palliative care , and/or cardiac + Managed care experience + Additional national

…or affiliated hospitals, a nursing home, ambulatory care facilities, home health care , physician practices, managed care services, and a cancer center.

…internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. MINIMUM