Make patient assessments and determine appropriate levels of care. Administer benefits, review treatment plans, and coordinate transitions between various areas of care. Must meet the following requirements for consideration:
Clinical licenses must be active and unrestricted. 5 years of experience in a related mental health environment. 1+ year experience in a Managed Care environment (MCO) Proficient level of experience with MS Word and Excel, with the ability to type and navigate a Windows environment.
A health management company is seeking a Telecommute Care Delivery Director. Core Responsibilities of this position include: Supervising case management departmental activities. Acting as a client facing clinical subject matter expert.
Research, identify, and implement new approaches and methods to improve the quality and cost of care. Applicants must meet the following qualifications: Bachelor's degree (preferably in Economics, Business, Statistical, Mathematical, Health or related field) 5+ years data analytics.
2+ years of experience with network data management in a managed care environment. 2+ years of experience in provider data analysis. 2+ years experience with claims processing or resolution and medical coding. 1+ years of experience working with reporting tools and generating effective reports.
A managed care company has a current position open for a Telecommute RN Transition Care Coach in the Spartanburg Area. Individual must be able to fulfill the following responsibilities: Coordinate care and reassess member's needs.
A healthcare company is seeking a Telecommuting Speech Language Pathologist in Irvine. Core Responsibilities Include: Prioritizing and strategically implementing plans to accomplish short and long-term goals.
A healthcare company is filling a position for a Telecommuting Speech Language Pathologist in San Francisco. Must be able to: Prioritizing and strategically implementing plans to accomplish short and long-term goals.
A healthcare organization is filling a position for a Telecommuting Healthcare Account Director. Core Responsibilities Include: Ensuring successful delivery of high impact, high ROI solutions. Ensuring programs meet necessary quality standards.
Evaluating the pre-service authorization request. Promoting the quality cost-effectiveness of medical care. Forwarding requests to the appropriate physician or medical director with recommendations for other determinations. Qualifications for this position include: