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The Home Health Authorization Specialist is primarily responsible for requesting authorizations from insurance companies on initial and continuation of services for skilled nursing, therapy services, home health aides, infusion therapy, as well as follow-up on the requests.
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Facilitate the provision of needed follow-up services through coordinating with the Resettlement and Placement (R&P) staff, MRS Employment staff, and local Health Department (LHD.
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Follow-up with patient as appropriate to ensure compliance with recommendations, medications, lab/x-ray results, special visits, PCP visits, dieticians, diabetes educators, etc. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital.
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Since 1932, Newton Medical Center has been providing care to the people of Sussex and warren counties in New Jersey, Pike County in Pennsylvania and southern Orange County in New York. We are home to the Center for Breast Health, the only one of its kind in Sussex County, addressing all of a woman's breast health needs with state-of-the-art technology, resources, education, support and follow-up care.
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Performs insurance verification for HME, prior authorization and follow-up. Employment Type:Full timeShift:Description:Position Purpose: Responsible for obtaining and inputting information received for Home Medical Equipment (HME) referrals and follow through for compliance.
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Knowledge of insurance follow up process, clinic operations, general office principles, medical insurance, payer contract, and basic medical terminology and abbreviations, regulatory/reporting requirements.
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Our community living services are provided in 27 states with several thousand programs and a comprehensive range of high-quality services, including: Community Living, Adult Host Homes for adults regardless of disability, Behavioral/Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote Support, Supported Employment and Training Programs, and Day programs.
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Qualifications: Must be BILINGUAL – Chinese (Cantonese or Mandarin) speakingGraduate of an accredited practical nurse or vocational nursing programCurrently licensed as an LPN/LVN in the StateCurrent CPR certificationMinimum of one-year experience in hospital setting, home health, or community health experienceMust have good understanding of managed careMust have reliable transportationMust be flexible and available on the weekends if needed.
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Directly supervises a Community Health Worker who provides clinical navigation, home visiting, and health education related to early childhood development under the supervision of the Program Implementation Director.
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The Senior Public Health Nurse also administers injections, follow up on abnormal labs and missed appointments, triage phone calls; The Senior Public Health Nurse provides obstetrical/maternal health services including education and counseling to pregnant clients.
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Other departments include Student Health Outreach and Promotion (SHOP), home of the Condom Co-op; CARE (Campus Advocacy, Resources, and Education) the advocacy and prevention education office that supports survivors of sexual assault, stalking, and dating/domestic violence; and Student Insurance Programs.
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Facilitate care transitions for patients discharging from hospital and ED, and receiving prenatal and perinatal care at ZSFGH in a timely manner including: Ensuring appropriate follow-up with patient's Care Team, Reviewing patient's records, history, and reconcile medications upon transition into care, Acting as a liaison to hospitals and other community agencies, Coordinating high-risk OB transfers to ZSFGH. Conduct abnormal Pap and mammogram follow-up, and birth log follow-up, per protocol.
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Coordinate the screening process involving health, academic, social, and emotional tests and work closely with the Special Education Coordinator and Special Education Co-Teacher. Maintain appropriate daily records of students as required, follow time-lines and procedures required by the Special Education Coordinator.
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Connects patient with Community Mental Health or other agencies or private providers to provide:Psychiatry follow-up appointmentsPsychotherapy and Expressive Arts therapy appointments,Intensive Case Management (Outpatient)Other social services such as substance abuse treatment, support groups (various subjects), etc.
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Benefits Available for full time employees: Health insurance coverage Dental and Vision Plans 403b Savings Plan Daily Pay Paid Time Off Tuition Reimbursement program WellBeing mental health support 24/7 Chaplain Counseling 365 Program for new team member development The Lutheran Home is an equal employment opportunity/affirmative action & veteran friendly employer.
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home health education follow up jobs Title: consultant in Peoria, Arizona
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