Unit C3, BH C3 and ED C3 to facilitate patient placement including all admissions, transfers and discharges on a 24/7 basis.... Bonus Amount: RN (excluding management) sign-on bonuses are awarded in the amount of $20,000 for full time LPN sign...
in regard to network access, discounts, and quality, in order to retain and grow membership. This role will lead with large BH..., customers and members in collaboration with Local and Group Sales, Group Account Management, Health Care Management, Carelon...
and/or substance abuse in a Behavioral Health setting for our BH Case Management program. Responsibilities: Perform comprehensive... Clinicians who have experience providing intense case management services to consumers diagnosed with mental health...
and delegates program management responsibilities effectively. Uses and monitors KPIs (key process indicators) to evaluate program... and oversees countermeasures. Provides leadership support and acts as a mentor to Psych & BH staff. Creates and sustains...
. Performs duties and types of care management as assigned by management. Serves as mentor/trainer to new BH Clinicians... Management Written/Oral Communication & Organizational Skills Addendum for BH Clinical Advocate roles: Bi-lingual...
strong knowledge of healthcare billing, payer guidelines, denial management processes, and revenue cycle operations. The representative... or other education may be considered in lieu of a degree. Experience: Minimum 2 years of experience in healthcare (BH, CCBHC, RHC/FQHC...
, as needed. Monitor the individual interventions prescribed in the plan of care and update medical record regularly. Alert SW/BH staff... of crises that arise in the day center or in the community. Maintain current, accurate, professionally written case management...
Assurance Specialist ensures quality, compliance, workflow accuracy, and performance excellence across Enhanced Care Management... (ECM), Community Supports (CS), Behavioral Health (BH), and Community Health Worker (CHW) operations. The QA Specialist...
of care investigations and using criteria closes case appropriately or refers to BH Medical Director for further review... and a minimum of 3 years experience in quality improvement and/or behavioral health, risk management and/or utilization review...
Assurance Specialist ensures quality, compliance, workflow accuracy, and performance excellence across Enhanced Care Management... (ECM), Community Supports (CS), Behavioral Health (BH), and Community Health Worker (CHW) operations. The QA Specialist...