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Training and/or familiarity with Dialectical Behavioral Therapy (DBT), familiarity with abuse and neglect reporting and duty-to-warn mandates, knowledge of community-based resources and experience with pre-authorization and billing processes is preferred.
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Works closely with the physician office staff to ensure that pre-cert/pre-authorization numbers are obtained & entered in the registration system. When the ordering physician has completed the pre-certification, documenting the authorization and releasing the account.
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If appropriate, notifies the patient that the appointment needs to be rescheduled due to missing Referral/Pre-certification/ Authorization. Resolves all outstanding Alerts on pending appointments within 48 hours of the scheduled appointment to minimally include: Missing Referral Missing Pre-certification/Authorization Self Pay Accounts Eligibility Verification Missing Demographic/Insurance Information.
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Facilitates skill development by careful planning of Dialectical Behavioral Therapy (DBT) groups and implementation of DBT in individual and family therapy, as evidenced by chart reviews, patient and family feedback and supervisor observation.
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Minimum of 1 year of specialized training in a health care setting with demonstrated knowledge of insurance verification and working knowledge of authorization and pre-certification process preferred.
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Provide behavioral health care management support for Suboxone patient panel, particularly coordination of care between medical providers and community resources. Experience in behavioral health as a clinical provider (biopsychosocial evaluations and psychotherapy.
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The BHC provides same-day consultative services to medical providers and patients for a broad array of behavioral health issues in the form of assessment, brief intervention, and triage of psychosocial problems in the clinic patient population.
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And serve as mental health staff in the implementation of a Public Safety Behavioral Health Wellness Program providing holistic health and wellness services and resources for City of Atlanta’s public safety employees (in the Police Department, Fire Department, and Corrections Department.
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Ensures that pre-certification and/or authorization and referral requirements have been completed by placing phone calls to insurance companies, physician offices, patients, and utilizing web based applications and/or internet resources; obtains clinical information from physician offices and/or Bryan system; contacts Health Information Management to obtain CPT and/or ICD-9 codes.
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San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem, at our new 133 bed Acute Psychiatric Hospital, located in South San Jose, CA. San Jose Behavioral Health is currently seeking an experienced Utilization Review Specialist Per Diem to join our growing team.
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Serves as a resource for staff and physicians regarding prior authorization and pre-certification policies and procedures. The Prior Authorization/Pre-Certification Coordinator is responsible for performing prior authorizations, pre-certifications for surgeries, pre-collecting funds as appropriate, and other office procedures as necessary.
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The Mental Health Clinician is involved in working with all disciplines of the Behavioral Health Unit to attain effectiveness in serving our patient population. Keywords: Mental Health Professional, behavioral health professional, QMHP, QBHP, mental health clinician.
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The Pre-Authorization Specialist is responsible for identifying prior auth requirements by insurance/payer and processes and completes prior authorizations for scheduled and add on services.
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Steward is among the nation’s largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multi-specialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.
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If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call. Verify insurance benefits and determine pre-certification/authorization status via online or other resources.
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behavioral health patient safety pre authorization jobs Title: clinician Company: Echn in WA, Ohio
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