…Mental Health Counselor Preferred Qualifications Crisis Intervention skills preferred. Manage care and case management experiences. Managed care /utilization

…Mental Health, Geriatric, Case management, Social work, discharge planning, Home health, Medicaid, Acute care , Managed care , care planning Top Skills

…and supply areas. Monitors variance activity on a monthly basis. . Monitors managed care , third party reimbursement and accounts receivable management, including

…of the patient undergoing ECT where applicable. + Is knowledgeable regarding managed care implications - precertification and utilization review procedures. +

…value of Methodist Medical Group to its clients * Evaluate and report on managed care activities via reimbursement and contract analysis. * Provide leadership

…collected, reviewed, escalated if needed and disseminated appropriately for all commercial, managed care and government plans. + Communicates updated insurance

…providers. The goals are to center services around the patient, to foster patient self- managed care , and maximize efficient and cost-effective use of health

…clinical setting required. + 2 years' experience as a Utilization Management nurse in a managed care payer preferred. + One year experience as a case manager in

…pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral.

…Omnibus Budget Reconciliation Act (COBRA) and abuse/neglect reporting. + Communicates with managed care organizations to obtain insurance pre-authorizations in a