… Care Management UTMB Health Requisition # 2502533 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient

…**Preferred Qualifications** + Case management and discharge planning experience + Managed care experience + Confidence working at home/independent thinker,

…planning, home health care , rehabilitative medicine, community health or managed care preferred. + Knowledge of preventive service guidelines, clinical

…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

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

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

…information utilizing internal or electronic sources. 25. Obtains and documents managed care referrals, required pre-certifications and authorizations as

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

…epidemiology a plus + Clinical, formulary, and/or other management experience + Managed Care , Payer, Organized Customer, pharmaceutical industry, and/or Quality

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