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Works with treatment team members to effect appropriate referrals for placement, case management and aftercare services; Master’s degree in a social science field required, plus two (2) years of experience working in a behavioral health field.
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Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member’s case assignment.
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Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist. Using motivational interviewing, assures essential information relating to case management is disclosed to members, thus increasing the opportunity for success in meeting member health goals.
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Training Preferred: Quality Improvement, Behavioral Interviewing, Coaching Skills, Disease Management, Bilingual in Spanish, Certification in Case Management, Professional Utilization Review or Managed Care knowledge, Interqual Admission/Continued Stay criteria knowledge.
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Keywords: BSN, CPR certified, nursing, health care, behavioral health, mental health, children, adolescents, caseworker, residential treatment, child welfare, human services, patient services, scheduling, health promotion, patient care coordinator, direct care, case management, health care coordinator, medical records clerk, health care administrator, bilingual, Spanish.
$18.89 - $22.03 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Monitor daily census and assignment to assure all patients are assessed for case management needs including care coordination/transition and discharge planning, consultations, advocacy, education.
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The Quality Assurance Case Aide (QAS4) is a practical and administrative support staff to the Community Umbrella Agency (CUA) program from within the Quality Assurance Department.
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Establishes standards for staffing and case load management and guides leadership team to assure standards for key quality indicators, documentation, policies and procedures are met according to Select Health, regulatory and accreditation standards such as CMS, NCQA and EQRO.
$167,579 - $192,601 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Participates in leading Case Management departmental trainings, meetings, presentations, quality improvement initiatives. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception.
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Summary of Services: In-home/in-office/virtual Outpatient Treatment High-needs/Targeted/Universal Case Management School Based Services Infant and Early Childhood Team Multisystemic Therapy & MST for Problem Sexual Behaviors Autism Center of Excellence Therapeutic Groups/Parent Training Intensive Outpatient Program Respite Whatever It Takes Prevention Services.
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Ability to balance scheduled patient appointments (in person and by telehealth), ongoing case management and real-time unscheduled patient needs that arise during the provision of sexual and reproductive health services.
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Provides referrals, as appropriate to the case, to correlating PHP entities including but not limited to: Legal, Risk Management, Behavioral Health QOCC Team, Provider Network Operations, Credentialing, Critical Incidents Teams, or Care Coordination.
$29.13 - $44.49 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The civilian-led Aurora Mobile Response Team (AMRT), the Aurora Police Department's Crisis Response Team (CRT), and the Targeted Violence Prevention (TVP) program operate to provide a continuum of care through direct intervention, individualized crisis case management and resource referrals.
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The Telephonic Case Manager RN Behavioral Health is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating.
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The Care Plan Reviewer (Clinical Case Manager BH) utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/ collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes.
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behavioral health quality case management jobs Company: Choices Inc in Columbia, Missouri
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