Overseeing initial inpatient admission for psychiatric and chemical dependency patients. Making patient assessments and determine appropriate levels of care. Obtaining information from providers on outpatient requests for treatment. Qualifications for this position include:
Making patient assessments and determining appropriate levels of care. Obtaining information from providers on outpatient requests for treatment. Determining if additional clinical treatment sessions are needed. Must meet the following requirements for consideration:
Managing the care plan throughout the continuum of care as a single point of contact. Assessing, planning, and implementing care strategies that are individualized by patient. Making outbound calls and receive inbound calls to assess members' current health status.
Assessing and reviewing plan of care to identify gaps in care, trends to improve health and quality of life outcomes. Providing care coordination to members with behavioral health conditions identified and requiring intensive interventions and oversight.
Meet with the individual and his/her guardian or care provider. Work with the company's team to ensure completion of all requirements of the program. Skills and Requirements Include: Travel up to 20% - 30% of the time. A Licensed Practical Nurse with at least 3 years’ experience.
Must be able to: Assess members' medical care needs. Implement plans for the safe evacuation of patients as needed. Work with medical teams to provide healthcare services. Applicants must meet the following qualifications: Undergraduate degree or equivalent experience.
A provider of enterprise software and solutions has an open position for a Telecommuting Costpoint Customer Care Analyst. Individual must be able to fulfill the following responsibilities: Providing Customer Care for customer inquiries received.
Experience in the Managed Care Benefits arena. Experience in the Self Insured benefits arena. Strong computer and analytic skills. Strong consultative selling and negotiation skills.
5 years' experience in managed care pharmacy and/or retail pharmacy required. Understanding of health care, PBM, and pharmaceutical industries required. Solid understanding of regulatory guidelines (FDA, NCQA, EQRO, CMS) required.
A healthcare company is filling a position for a Telecommuting Case Manager Registered Nurse in Cincinnati. Candidates will be responsible for the following: Conducting comprehensive assessments of referred members needs/eligibility.