Conducting outpatient utilization reviews to determine appropriate care. Assessing if member care meets coverage guidelines. Applicants must meet the following qualifications: Active, unrestricted licensed Master's degree in a behavioral health field. A icensed Ph. D.
A healthcare company is filling a position for a Remote Licensed Behavioral HealthCare Advocate. Individual must be able to fulfill the following responsibilities: Focus on initial and concurrent reviews for psychiatric and chemical dependency patients.
A healthcare company is filling a position for a Virtual Intake Specialist in Mahoning County. Core Responsibilities Include: Conducting program assessments using program and identified tools and process. Providing recommendations for eligibility per program and guidelines. Required Skills:
A healthcare corporation is seeking a Remote Intake Specialist in Fulton County. Candidates will be responsible for the following: Conducting program assessments using program and identified tools and process. Providing recommendations for eligibility per program and guidelines.
A company supporting nurse education has a current position open for a Telecommute Long Term Care Subject Matter Expert in Phoenix. Core Responsibilities Include: Creating educational materials for nurses in transition. Developing educational content.
A nonprofit organization needs applicants for an opening for a Remote Care Manager. Core Responsibilities of this position include: Generating referrals to providers, community-based resources, and appropriate services.
Knowledge of CQI principles and ability to manage change. Must possess Care Connects platform experience. A working knowledge of account management, customer relations and business management are essential.
Applicants must meet the following qualifications: CCS or graduate from a Health Information Technology or Health Information Administration program. 2 years coding experience in hospital acute care coding environment. Ability to work remotely.
Facilitate care ensuring that our members receive the highest quality care. Position Requirements Include: Take ownership for your work, and you operate with a high level of confidentiality and attention to detail. Empathetic and understanding.
Computer proficiency utilizing MS Office. 2 years of RN experience in a hospital, acute care, or direct care setting, or experience as a Telephonic Case Manager for an insurance company. Active, unrestricted RN license in your state of residence.