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Communicate and coordinate with internal stakeholders to identify and address patient needs (e.g. care team, social work, behavioral health, utilization management, Hard-to-Reach, Central Telehealth, etc.
Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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The ideal candidate will have a strong background in health plan operations, managed care, regulatory compliance, and provider contracting within the healthcare industry. In-depth knowledge of provider contracting issues, Medicare risk adjustment methodologies, STARS ratings, Medicaid regulations, and behavioral health parity.
Full-timeExpandApply NowActive JobUpdated 30 days ago - UpvoteDownvoteShare Job
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TCA Health, a Federally Qualified Health Center located on Chicago's far south side has been a provider of innovative, accessible, and quality primary care, dental, behavioral health services and more to Chicagoland's underserved communities for over 50 years.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Specific responsibilities will include:ANALYTIC REQUIREMENTS:Understanding and being highly proficient at querying a wide variety of healthcare data and related population data (medical/pharmacy claims, behavioral health claims, health care management (HCM) records, electronic medical records (EMR), provider databases (AMA, NPI, DEA, etc.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Provides telephone triage as defined by guidelines and in collaboration with provider coordinating care with infusion room, home health, urgent care or emergency department as required.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Train staff and providers on the utilization of Veradigm Solutions to ensure that our customers' successfully implement and utilize our solutions and that success is reflected in improved provider engagement and associated performance when relating to Risk Adjustment, Quality and other Care Gap Closure activities.
Full-timeRemoteExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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The Behavioral Health Consultant (BHC) is part of a multi-disciplinary primary health care team. Provide consultation and training to the primary care team to enhance their skill and effectiveness in managing the behavioral aspects of patients; care plans and treating mental health problems.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care.
$60 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Required 2+ years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Health Care Utilization Review Coordinator (HURC) is accountable for coordinating and facilitating patient services across the various levels of the continuum utilizing Relationship-Based Care model as the framework.
Full-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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Knowledge of health plan and provider operations, required. The Provider Relations Representative role is an exciting and highly visible internal and external position responsible for collaborating with the Manager of Network Development and National Director of Network Management in developing, implementing, and maintaining WellBe’s strategic provider relationships.
Full-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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Our six service areas include: Behavioral Health, Early Childhood, Educational Services, Family Services, Jóvenes Adelante (Youth Moving Forward) and Residential Services. The Care Provider provides services for a diverse population of Unaccompanied Children (UC) of all ages and genders.
$20 an hourFull-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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In addition to the care facilitation, the HURC will perform related duties including utilization management, discharge planning and referral to other levels of care and fulfills unit and organizational goals.
Full-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Develop and drive VBC strategies focused on: Network loyalty/catchment, Care Model Optimization, Care Standardization, and Utilization Management. Endeavor Health seeks an exceptional full-time board certified/board eligible Pediatrician to provide general pediatric care at our Swedish location in Chicago, IL.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Based in the primary care practice, the Wellness West Community Health Worker (CHW) will work with patients to improve self-management of diabetes, hypertension and mild/moderate depression through assessment, enhanced self-awareness, education, self-monitoring and eliminating barriers to self-care by screening and addressing social drivers of health.
Full-timeExpandApply NowActive JobUpdated 2 days ago
care provider behavioral health utilization management plan jobs in Chicago, Sherwood, Oregon
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