for the surgical floors. Determines urgent/emergent medical situations and activates rapid response team or engages the...% of the time when the insurance verification status says New, Elapsed, Incomplete, Needs Review, or is Medicaid, using...
of an outcome-oriented treatment plan developed within a managed care framework, which includes periodic reviews for appropriateness... of services and intensity. The individual in this role will participate actively in the treatment planning and review process...
Behavioral Health (BH) Medical Director leverages clinical expertise to provide leadership and oversight for behavioral health... responsibilities include: Oversee and participate in behavioral health case management, including utilization review, telephonic care...
within OMG's dedicated managed service product, Creo. The core responsibility of the role is leading a group of Account... as key point of contact throughout a partnership lifecycle. The role will serve all OMG agencies across the organization...
, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections... and provider outreach, data collection and analyzation, reporting, clinical review, medical and behavioral health assessments...
, project milestone dates and work products. Reviews financial performance of projects being produced and/or managed within the... proposal preparation and review for opportunities in the Division. Actively pursues new project opportunities by maintaining...
according to procedure and send confirmations to our guests after making a reservation or upon request of the guest. Review... threat, guest or team member medical emergency, or system failure. Provides outstanding guest service. Ability to work well...
, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections... and provider outreach, data collection and analyzation, reporting, clinical review, medical and behavioral health assessments...
, monitors and assesses impact of benefit and provider reimbursement changes, cost containment programs, on medical cost... in developing cost projections for contact period negotiations. Performs monthly review of outstanding claim liabilities to assist...
, approaches, and concepts both within and outside the organization. Develop or champion new systems, concepts, or technologies... aspects of ongoing engineering projects within program guidelines set by the Program Manager and customer. Review the status...