to determine if the requested services meet medical necessity guidelines, and document decisions within mandated timeframes and in...). What We Prefer: Bachelor's degree- Nursing. Psych or BH experience. 3 years-utilization/medical review, quality assurance...
. Provides utilization review, quality management, case management, BH education, appeals and grievance activities. Directs... and management of SHP activities including, case management, utilization management, quality management, and contracted services...
input codes for all services to be billed by billing area. 3. Researches all assigned incomplete charge documents 4. Logs... Daily Control Log and/or process defined within the department and prepares morning management reports when necessary. 6...
everywhere. Nationwide Children’s Hospital. A Place to Be Proud. Responsibilities The Behavioral Health (BH) Crisis Services Care... by Nationwide Children’s Hospital Behavioral Health Crisis Services and appropriate Ohio Licensure requirements. The BH Crisis...
services to deliver a radically better experience of care for every member and community we serve. Over the next year, we’ll.... About the Role: Behavioral health services and care programming are available to all Cityblock members. The Behavioral Health...
and oncall Job Category: Installation - Maint - Repair Make Ready Technician At BH Management Services, we are committed... by our growth from a start-up firm in 1993 to one of the largest multi-family management companies in the nation. BH understands...
Job Description: About the Role: Behavioral health services and care programming are available to all Cityblock... to homes when needed Case Review and Care Planning Participate in case conferences Partner with BH CHP and Psych APC...
management, coordination with other treatment agencies or outside support services, outreach and engagement. Performs... team to achieve optimal clinical outcomes. Provide services to consumers with commercial insurance and Medicaid...
to complete their care management treatment plan or preventive care services. Assists in obtaining benefits for members through... through the development of a care management treatment plan specific to each member with high level acuity needs. Manages...
with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact...+ years hospital nursing experience or relevant MCO experience Current NM RN License Complaint Management experience...