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Acentra seeks a Behavioral Health UM Clinical Reviewer (PRN, Remote within Virginia) with an active RN, LCSW, LPC, and/or LBA to join our growing team. Experience with Community Based Mental Health Services (e.g. Case Management, TDT, IIH, MHSS, IOP.
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Position is remote but candidates must be located within the State of Virginia. Active unrestricted Registered Nurse (RN) license, Licensed Clinical Social Worker (LCSW) license, Licensed Professional Counselor (LPC) license, or Licensed Behavioral Analyst (LBA) license in the State of Virginia.
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Our vibrant and diverse international community of nearly 300 publishing brands and imprints include Ballantine Bantam Dell, Berkley, Clarkson Potter, Crown, DK, Doubleday, Dutton, Grosset & Dunlap, Little Golden Books, Knopf, Modern Library, Pantheon, Penguin Books, Penguin Press, Penguin Random House Audio, Penguin Young Readers, Portfolio, Puffin, Putnam, Random House, Random House Children's Books, Riverhead, Ten Speed Press, Viking, and Vintage, among others.
$110,000 - $135,000 a yearFull-timeRemoteExpandUpdated Today - UpvoteDownvoteShare Job
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ICF's Disaster Management (DM) Division is growing and we are seeking a Senior Community Recovery and Mitigation Specialist who will support projects and strategic initiatives nation-wide related to COVID-19 recovery, natural disaster recovery, and hazard mitigation.
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CNSI and Kepro are now Acentra Health! Our Behavioral Health UM Clinical Reviewer (RN, LCSW,LPC, and/or LBA) will use clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements, critical thinking, and decision-making skills to determine medical appropriateness while maintaining production goals and QA standards.
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Knowledge of current National Committee for Quality Assurance (NCQA)/Utilization Review Accreditation Committee (URAC) standards. 1+ year of Utilization Review (UR) and/or Prior Authorization or related work experience.
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Ensures day-to-day processes are conducted in accordance with NCQA, URAC, and other regulatory standards. Experience with Substance Use (ARTS) Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise.
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Always maintain medical records confidentiality through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies. Foster positive and professional relationships and liaise with internal and external customers to ensure effective working relationships and team building to facilitate the review process.
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Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Experience with Applied Behavioral Analysis (ABA) Determine approval or initiate a referral to the physician consultant and process physician consultant decisions, ensuring the reason for the denial is described in sufficient detail in correspondence.
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Our mission is to innovate health solutions that deliver maximum value and impact. Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.
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South Coastal Counties Legal Services, Inc. (SCCLS), a growing non-profit civil legal aid program that provides quality legal representation to low-income and other vulnerable residents of Southeastern MA, Cape Cod & Islands seeks permanent Managing Attorneys for its offices in New Bedford and Brockton.
Part-timeRemoteExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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Black Spectacles is an ambitious group of 25 fully remote teammates with the goal of growing to 75 over the next two years to support our purpose of helping architects thrive in their careers, trying to achieve big things to support the architecture community.
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If you are a mental health counselor who hasn’t reached out to the growing telehealth community, you are missing out. This role is 100% remote. Licensed Marriage and Family Therapist (LMFT.
$100,000 - $120,000 a yearPart-timeRemoteExpandUpdated Today - UpvoteDownvoteShare Job
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Director of Community Activation - JobTok ($170K - $220K) (Remote/California) We’re a small but growing non-profit that wants to change how all students in the US dream about their career futures, so that they are all equipped to access the future of economic opportunity.
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Licensed Clinical Social Worker (LCSW) Licensed Mental Health Counselor (LMHC) Work full-time or part-time from the comfort of your home as a mental health counselor, during hours that suit you! Top Quality Counselor Dashboard: You will be using a therapy platform as your online private practice, which allows you to help your clients via live sessions (video/text) and messages.
$80,000 - $100,000 a yearPart-timeRemoteExpandUpdated Today
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