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The Residential Counselor may be privileged to provide basic health teaching in the areas of nutrition, exercise, dental care, substance abuse prevention, and prevention of injury and illness at home and in the community as well as training in communicable disease prevention.
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Works as part of an interdisciplinary care team coordinating social work and mental health counseling, psycho-social support services, in-home support, legal services, skilled nursing, home health, etc.
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Other Job Requirements Responsibilities 3-5 years experience in Social Work, Nursing, or Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health required.
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The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management.
$280,000 - $300,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Support and participates in the Patient-centered Medical Home (PCMH) concepts of care coordination and team- based care. Follow established PCC workflow for utilization and self-management support.
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3-5 years experience in Social Work, Nursing, or Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health required.
Starting at $50,225 a yearFull-timeRemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Collaborates with the interdisciplinary care plan team which may include member, caregivers, member`s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services.
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Will educate the patient/caregiver in the management of their illness and promote the home health support systems to decrease re-hospitalization and utilization of hospital emergency services.
$29 - $120 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
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Schedule in-home care management visits, follow-up visits, telehealth meetings, physician office visits, dialysis center tours, and group support sessions. Our Call Center Representatives call prospective patients to enroll them, educate patients of existing benefits of their healthcare plan, schedule in-home care management visits, coordinate with physician practices to schedule office visits, and ensure data is entered accurately and that the correct communications and materials are sent to patients timely.
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Support and collaborate with management, medical management, and health services team members in implementing and managing Utilization Management, Case Management, Disease Management, Population Health, Care Coordination, and Care Transition activities in Transition Care Services.
$35.5 - $57.28 an hourExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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As needed, and when privileged, provides basic health teaching in areas including nutrition, exercise, dental care, substance abuse prevention, prevention of injury and illness at home and in the community, and the prevention of communicable disease; including the prevention of sexually transmitted diseases and blood borne pathogens including, HIV/AIDS.
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Experience with Managed Care, Utilization Management, Prior Auth, and Benefits Management decision support in the Post-Acute Domain, DME, Home Health, and Wound Care.
$249,680 - $449,424 a yearFull-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Provides clinical leadership for Utilization Management, Case Management, Disease Management, and Quality Management of Clients in cooperation with solution medical directors and the Chief Medical Officer.
$249,680 - $449,424 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Carelon Medical Benefits Management is looking to hire a National Solution Medical Director for Post Acute Care Solutions. Collaborates with HCM leaders to refine and improve provider and medical management services to meet the needs of Clients.
$249,680 - $449,424 a yearFull-timeExpandApply NowActive JobUpdated 7 days ago
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