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At least two (2) years experience in mental health setting and experience working in Inpatient and/or Outpatient treatment services OR Behavioral Health Case Manager - Eating DisordersMinimum two (2) years recent experience in case management and working with community resources, specifically related to the assessment, diagnosis and treatment of a variety of Eating Disorders.
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Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
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Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist. 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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At 360 Behavioral Health, we take pride in our long-standing commitment to providing exceptional care for individuals impacted by autism and other developmental delays. Effective Communication: 360 Behavioral Health will, upon request, provide auxiliary aids and services leading to effective communication for people with disabilities, including qualified sign language interpreters, assistive listening devices, documents in Braille, and other ways of making communications accessible to people who have speech, hearing, or vision impairments.
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The Integrated Behavioral Health Consultant also assists primary health care providers in recognizing and treating mental disorders and psychosocial problems, detecting "at risk" patients, and assessing the clinical status of patients referred by the primary care provider.
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Top hospitals like Johns Hopkins, Mayo Clinic, Stanford Health Care, Scripps Health, and Rush Health have joined our platform. We’re a health tech company that brings value-based care to the masses.
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Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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The Behavioral Health AR Manager will oversee day to day operations of all Behavioral Health Accounts Receivable including: Butler Hospital, The Providence Center, CNEMG Behavioral, and other operating unit behavioral clinics.
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Ciena Healthcare is Michigan’s largest provider of skilled nursing and rehabilitation care services. The Care Management Nurse, MDS Nurse works the RAI process and conducts assessments and care plan coordination for those residents assigned.
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MedNOW Clinics offers its patients on-site EKG’s, pulmonary function testing, and integrated behavioral health services with a full-time mental health therapist on-site! MedNOW offers traditional family and internal medicine and addiction medicine services, as well as behavioral health and physical therapy.
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Headquartered in King of Prussia, PA, UHS has more than 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
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Posted job title: Case Manager Utilization Rn-Per Diem Mid-Shift About Kaiser Permanente At the heart of health care, you'll find Kaiser Permanente. Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
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2 years of consecutive recent experience for the past 2 years in one specific specialty such as Behavioral Health, ED or Emergency Department, Intensive Care/ICU or Critical Care/CCU, Intermediate Care/IMC or Stepdown, Medical or Surgical or Med/Surg, LDRP or Labor, Delivery, Recovery, Postpartum, Mother/Baby or Postpartum, Labor and Delivery, PACU, Endoscopy, OR or Operating Room, Cath Lab.
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LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
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care provider behavioral health utilization management jobs Company: Amerihealth Caritas in Sherwood, Oregon
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