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Participates in Mental Health Service meetings, Mental Health leadership meetings, and facility committees as a representative of the Mental Health Service and/or Psychiatry Section as requested (i.e. Academic Partnership Council, Pharmacy & Therapeutics, Peer Review, Peer Utilization Management Review, and Credentialing Committees.
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The charge nurse assists the Clinical Manager and/or Nursing Director with the management of the unit including participating in employee evaluation, staffing and scheduling, patient and preceptor assignments, oversight of resource utilization, and initiating and overseeing quality improvement activities.
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Collaborate with the regional management in participating in a community event to promote TLC to generate increased utilization of the clinic. Minimum Qualifications: Master of Science in Nursing as a Family Nurse Practitioner or bachelor’s degree as a Physician Assistant Minimum of 1 year of experience in healthcare Ability to maintain a high degree of confidentiality.
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The Utilization Review Coordinator is responsible for executing the UR function, which includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients.
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Establish and maintain knowledge on the local and national payer landscape - this includes Specialty Pharmacy and Utilization Management criteria for assigned products. Subject matter expert on Bausch + Lomb's patient support programs, payer utilization management, access issue resolution, financial assistance and Company approved alternative funding options.
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The Physician Advisor (PA) conducts on-site clinical reviews of cases referred by case management staff and/or other health-care professionals to meet regulatory requirements and in accordance with the hospital's objectives for assuring quality patient care and effective, efficient utilization of health care services.
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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.
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Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life.
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FEATURED BLOG POSTS
Virtual Reality Job Interviews
With the advent of desktop computers, the arduous task of scouring through weekly job classifieds became a thing of the past. The mid-1990s brought about a new era where job seekers could easily search and apply for jobs online. The introduction of AOL's Instant Messaging feature provided an even faster means for employers and candidates to communicate and schedule interviews. As smartphones became more pervasive in the early 2000s, hiring managers increasingly used phone calls for screening and interviewing candidates. Despite this trend, over 80% of interviews still took place in person.
A Potential TikTok Ban?!
As you may already know, there has been a lot of talk lately about the possibility of a TikTok ban. While this has not yet come to fruition, it's important to consider the implications this could have for businesses and recruiters who rely on TikTok as a platform to market their brand, recruit new talent, and connect with their audience.
The Effects of Workplace Racism and Sexism
One day it's a covert statement to a mother returning to work after maternity leave. Another day it's a lingering gaze at an employee enjoying a culturally rich meal. These microaggressions (or sometimes macroaggressions) can take an employee from a confident, high-performer to one that feels insecure being themselves at work. Your employees engage with people with different ideas and feel most comfortable and valued when they can work without losing their cultural, racial, and gender identity. While most employers know this, why have workplace racism and sexism often been neglected?
When Rage Applying Strikes: How to Identify Unserious Candidates
As the job market remains highly competitive, we have seen a surge in "rage applying." This is when candidates apply to multiple jobs, often without considering whether they are truly interested in the role. Rage applying goes hand-in-hand with quiet quitting. Often, employees want to entertain the thoughts and feelings of leaving their job, but they aren't necessarily serious about leaving yet. Meanwhile, other employees engaging in this trend are actually trying to find a better role. As a recruiter, it can be hard to identify who are the real applicants in a sea full of quiet quitters, but understanding rage applying and identifying red flags will certainly help.
How to Increase Job Ad Exposure
In today's competitive job market, writing quality job ads is critical for attracting top talent to your organization. While networking and candidate referrals are prime real estate for finding qualified candidates, nothing beats the tried-and-true method of writing an extraordinary job ad. But while writing a great job ad is the first step, what's more important is increasing visibility. You could have the most detailed, well-written ad on the internet, but if no one sees it, then you are wasting time (and potentially money!). Employers often believe that job boards are the root of the problem, but you can learn how to increase job ad exposure by tweaking a few steps of your recruitment process.
How to Navigate Hiring Out of State
The job market has shifted significantly in recent years. The accelerated adoption of technology has not only pushed many companies into remote working arrangements but also increased the availability of supporting tools and technologies (i.e., video conferencing and collaboration software).
Building a Candidate Pipeline Through Internships
Building a candidate pipeline through a great internship program for local college students and recent graduates at local universities is a great and cost-effective way to attract and retain top talent. By offering meaningful and impactful work experiences, regular feedback, coaching, and mentorship, you can create a positive internship experience that will make your organization a sought-after destination for future employees. This not only benefits the organization in the short-term but also in the long-term, as you'll have a pool of well-trained and experienced candidates who may be interested in full-time employment once they graduate. Furthermore, building relationships with local universities and college students can increase brand awareness and build a positive reputation for your organization in the local community.