To provide quality case management services to all patient populations and their families. To serve as a member of the interdisciplinary team supporting the organization’s treatment program and philosophy and assure the deliverance of quality treatment to patients and their families. To proactively monitor and optimize reimbursement for organization services.
• Maintain appropriate records of the Utilization Review Department.
• Prepare and submit appeals.
• Attends mandatory training.
• Conducts admission reviews and pre-certs.
• Conducts concurrent and extended stay reviews.
• Prepares and submits appeals to third party payors.
• Schedules and conducts treatment team meetings to provide total case management of the patient by reading and discussing written progress notes from charts and communicating any state or local agency legal requirement for case management with the interdisciplinary team.
• Participates in activities which enhance professional growth and development.
• Demonstrates conduct in keeping with CCBH’s ethical standards.
• Complies with facility safety, infection control and security program.
• Supports facility service excellence standards.
Graduate of accredited RN program with current RN license, or a Masters in Counseling/Social Work or related field. Experience in psychiatric nursing preferred; high school, preferably college level reading, writing, and math skills. Excellent telephone, computer, and communication skills. Knowledge of health care service delivery systems and third party reimbursement; understanding of admission and discharge function. Familiar with medical terminology, diagnostic terms and treatment modalities; knowledge of medical record keeping; strong interpersonal, organizational, evaluative, and time management skills; policy interpretation skills. Must be familiar with applicable standards and regulations. Flexible; pays attention to detail; able to comprehend psychiatric evaluations, consults, labs, etc.; responsiveness to deadlines; assertiveness, persistence and persuasiveness; able to work with minimal direction or supervision.
Class A Tow truck driver JobHeavy duty tow truck driver and regular tow truck driver. Must be able to work weekends and be reliable. Pay: 30% commisionPaid vacations and paid sick time.How to apply for this Driving JobFill out a Gary's Job Board application....
A Facility in Hudson, NY is looking for a Psychiatric Registered Nurse (Psych RN) for NIGHTS. Must have a minimum of 2 years experience in Psych. Basic Life Support (BLS) required. ACLS Required. Travel experience preferred. EPIC experience required.
...individual serves as a link between underserved communities and existing community resources.... ...clients in overcoming barriers to health, social services, education, and employment... ...Preferred Qualifications:**+ Community health worker training or certification+ Bilingual/...
...Tuition assistance for both undergraduate and graduate programs: College interns are eligible to receive $1000 per calendar year Summary SRP (Salt River Project) is looking for 2 Human Resources (HR) Benefits Interns to join the Human Resource Benefits team....
**Job Category:**Flight Attendant**POSITION PURPOSE**Ensures the safety and comfort of... ...and respond to questions from management, crew, passengers and the general public.+... ...furnished in written, oral, diagram, or schedule form.+ Must be able to remain calm, think...