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Transport laboratory specimens, medical/non-medical supplies, medical/non-medical equipment, pharmaceuticals, controlled substances, temperature sensitive material, medical records/reports, and hazardous material to outlying clinics and agencies to the courier service.
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Maintain precise electronic medical records for patients. Alongside medication management, we specialize in alternative treatments like Ketamine infusions and Transcranial Magnetic Stimulation (TMS), all within a luxurious outpatient setting reminiscent of a spa.
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Our Behavioral Health UM Clinical Reviewer (RN, LCSW,LPC, and/or LBA) will use clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements, critical thinking, and decision-making skills to determine medical appropriateness while maintaining production goals and QA standards.
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Always maintain medical records confidentiality through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies. Review and interpret patient records and compare against criteria to determine medical necessity and appropriateness of care; determine if the medical record documentation supports the need for services.
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Experience with Community Based Mental Health Services (e.g. Case Management, TDT, IIH, MHSS, IOP) Active unrestricted Registered Nurse (RN) license, Licensed Clinical Social Worker (LCSW) license, Licensed Professional Counselor (LPC) license, or Licensed Behavioral Analyst (LBA) license in the State of Virginia.
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CNSI and Kepro are now Acentra Health! Acentra seeks a Behavioral Health UM Clinical Reviewer (PRN, Remote within Virginia) with an active RN, LCSW, LPC, and/or LBA to join our growing team. Knowledge of current National Committee for Quality Assurance (NCQA)/Utilization Review Accreditation Committee (URAC) standards.
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1+ year of Utilization Review (UR) and/or Prior Authorization or related work experience. Ensures day-to-day processes are conducted in accordance with NCQA, URAC, and other regulatory standards. Experience with Substance Use (ARTS.
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Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Foster positive and professional relationships and liaise with internal and external customers to ensure effective working relationships and team building to facilitate the review process.
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Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Experience with Applied Behavioral Analysis (ABA) Determine approval or initiate a referral to the physician consultant and process physician consultant decisions, ensuring the reason for the denial is described in sufficient detail in correspondence.
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Our mission is to innovate health solutions that deliver maximum value and impact. Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.
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The Acentra Health Talent Acquisition Team. Ability to provide technical consultation and policy interpretation. You will have meaningful work that genuinely improves people's lives nationwide. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
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Experience in a Medicare-certified home health agency and knowledge of electronic medical records (EMR) preferred. Ohio Living Home Health And Hospice In Greater Toledo Is a Premier Provider In Defiance, Erie, Fulton, Hancock, Henry, Lucas, Ottawa, Sandusky, Seneca And Wood Counties Offering Hospice And Palliative Care, Private-duty Home Care, Long-term Nursing Care, Physical/speech/occupational Therapies, Home Health Aides, Social Work Services, Medication Administration, Wound Care Management, IV Therapy And More. Most Importantly, We’re a Company That.
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Leveraging cutting-edge medical devices, we provide our patients with long-term success, even after conventional treatments have proven ineffective. Medical, Dental, Vision insurance (90% of your premium covered by Serenity.
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Administer Ketamine IV treatments to patients. Trigger Warning: As an Infusion Nurse, you will engage with patients who have experienced significant traumas and may be struggling with suicidal thoughts.
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You will work in an upscale outpatient clinical environment supported by a large team of doctors, nurse practitioners and registered nurses. Educate and familiarize patients about TMS. We are looking for nurses that value patient healing and schedule stability.
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