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By leading market level projects and strategies for provider engagement, this position will drive optimal performance on quality, risk adjustment, utilization management, financial performance, and membership growth.
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LMHC, EVP will join a team that offers leading Substance Abuse treatment including Detox, Residential, IOP/PHP, and First Responder services. Licensed Mental Health Counselor, LMHC or Licensed Clinical Social Worker, LCSW.
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Director Care Coordination- Major Responsibilities Criteria A: Establishes and coordinates communication with all Utilization Regulatory Agencies i.e. Qualidigm, NGS, etc., State and Third Party Payers to address Utilization Management Issues and Denials.
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This experience typically includes: monitoring occupant space utilization, energy and water conservation, sustainability and environmental hazards programs; coordinating alteration and renovation projects; gathering information to assess the level of customer satisfaction, i.e., surveys, interviews with tenant contacts, focus groups; monitoring real property budgetary and financial data; and, administration of repair and/or operation and maintenance contracts.
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A current, valid State of Florida license as a Licensed Mental Health Counselor (LMHC) or Licensed Clinical Social Worker (LCSW) or Licensed Marriage and Family Therapist(LMFT) is required. Licensed Counselor (LMHC or LCSW) - Substance Abuse Treatment.
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The Onsite EAP Counselor role is a unique and exciting opportunity to provide EAP counseling, management consultations, program promotion, critical incident response, and training, etc. (Psychologist, LCSW, LMFT, LPC, LMHC, etc.
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Recent experience in case management, home health, utilization review, and or unit clinical specialty required. Requires current case management certification from either CCM, ACMA or RN-BC or must achieve within two (2) years of hire as a Case Management Coordinator.
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The Deputy Chief Operating Officer (DCOO) is a member of MetroPlusHealth's Senior Management team and is vital in providing assistance with the oversight, management, and supervision of Operations, in a matrix organizational structure including: PMO, Process Improvement, Provider Network Operations, Call Center, Credentialing, Facilities, Enrollment & Membership, Vendor Management, Customer Success, and Claims.
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Master’s Degree in Social Work or related field; NYS LMSW, LMFT, LMHC, LCAT required. Instead of a congregate care setting, we place UCs in foster homes while we find and vet a sponsor for them to be unified with in the US. During their stay with us, we provide medical care, case management, life skills classes and mental health services.
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Please note, the practice is not able to provide clinical supervision for the purpose of qualifying for an LCSW, LMHC or LPC. LCSW, LMHC, or LPC; LMHC’s and LPC’s must have a minimum of 3 years post graduate experience.
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The Utilization Management Coordinator is responsible for all utilization management activities for assigned cases from admission through discharge, including peer reviews and appeals, in accordance with the Utilization Review Plan, for patient population ages 5 years through 21 years, with significant behavioral health needs and Autism Spectrum Disorders or other developmental disorders.
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Must have a masters level degree, and be independently licensed (LICSW, LMHC). Have knowledge and experience working with one or more of the following:Cognitive Behavioral Therapy, Cognitive Processing Therapy, Dialectical Behavioral Therapy, Trauma Informed Therapy, Internal Family Systems, Art therapy, EMDR, Mindfulness, Meditation Practices, Integrative Mental Health, etc.
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Data Management: Oversee the collection, processing, and utilization of data for training the chatbot, ensuring sensitivity and compliance with data protection regulations. Minimum of 5 years of experience in cloud infrastructure design and management, with a strong focus on Microsoft Azure.
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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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LMSW, LMHC or other relevant, graduate degree is required. The FJC Advocate will provide direct counseling and emotional support, case management, and advocacy to criminalized survivors who seek services at the FJC(s) and serve as the resident criminalized survivor expert both at the FJC where they are stationed and within the broader network of all the City's FJCs.
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utilization management lmhc jobs Company: Metroplus Health Plan in Jersey City, NJ
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