Core Responsibilities of this position include: Providing medical interpretation and decisions about the appropriateness of services provided. Ensuring healthcare professionals are in compliance with policies, procedures, and performance standards.
Core Responsibilities of this position include: Reaching out to members and ensuring appropriate care is accessed. Providing social assessments and member education. Creating a positive experience and relationship with the member. Applicants must meet the following qualifications:
Refining service offerings for new program for defining market needs and assessing the competitive landscape. Leading business development efforts for new client acquisition by overseeing the sales process. Managing a highly-effective delivery team to support this work. Required Skills:
Skills and Requirements Include: Board Certified Psychiatrist. Current License. 5 years of post-residency clinical work. 2 years of managed mental health care experience. Strong leadership skills – prior experience building & managing an interdisciplinary team.
A hospital network is seeking a Telecommute Behavorial Health Services Clinical Director. Must be able to: Develop and execute evidenced based clinical strategies. Plan and implement Behavioral Health quality and safety programs. Develop focused, long-term and short-term strategies.
Applicants must meet the following qualifications: Knowledge of health plan landscape, including purchasing and budget processes for health plans. Excellent relationships in the health plan market and ability to leverage these for health plan sales. Strong ability to manage a pipeline.
Travel of up to 25% is required for this position. Undergraduate degree or an equivalent combination of education and experience. Minimum 7 years of experience in clinical research, required. Minimum 4 years of project management experience, required.
Must be able to: Assign diagnostic and procedural codes to patient charts of moderate to high complexity. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstract required clinical information from the medical record. Qualifications for this position include: