3+ years of case and/or utilization management experience. Experience in psychiatric and medical health care settings. Working knowledge of utilization review procedures. Familiarity with mental health community resources. Unrestricted license as a LIMHP, LCSW, LMFT, LPC, PhD, PsyD or RN.
Skills and Requirements Include: Master's Degree in Social Work. 1-3 years of experience. Understanding of plan benefit structures, psychiatric/medical terminology and local communication resources. Must meet the employer's certification and licensing requirements.
Experience in a consulting environment. An in-depth understanding and knowledge of modern PV practices, regulations, future strategy and databases. Ability to interpret, communicate, and present clinical, scientific and medical information.
Provide clinical assessment, problem identification, need for medical necessity. Develop and monitor treatment plans, Manage caseload consistently at below 20% case aging weekly. Skills and Requirements Include: Valid Colorado driver's license, ability to drive, and willingness to travel.
A healthcare company is in need of a Telecommuting Medical Director. Must be able to: Present payment policy to clients for selection. Work with Medical Policy team, helping them to evaluate and validate the editing. Direct the research & development efforts of our Medical Policy team.
A higher education institution is searching for a person to fill their position for a Virtual Medical Billing and Coding Adjunct Faculty Member in Orchard Park . Individual must be able to fulfill the following responsibilities: Communicating with students.
Providing a high level of support to the programmers and medical writers on all statistical matters. Working with the programming team to provide definitions, documentation, and review of derived variables. Developing data and programming specifications jointly with programmers. Required Skills:
A medical writing services company is seeking a Virtual Freelance Clinical Evaluation Reports Medical Writer. Core Responsibilities of this position include: Reviewing literature to elucidate the clinical problem and current treatment techniques.
A staffing agency is in need of a Work at Home Senior Pharmaceutical and Medical Writer. Candidates will be responsible for the following: Writing clinical protocols and clinical study reports (CSRs) Writing investigational pediatric study plans (ISPS) and pediatric investigational plans (PIPs)
A college is seeking a Virtual Medical Coding and Reimbursement Adjunct Faculty Member in Orchard Park. Core Responsibilities of this position include: Teaching medical coding/reimbursement courses. Carrying out a given task with all details necessary to get the task done well.