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.
...seeking a reliable and safety-conscious CDL Driver / Sign Installer to join our team. This... ...company vehicles (typically bucket trucks, cranes, or flatbeds) to transport and install... ...a clean driving record. ~1+ years of experience in sign installation or related...
...including systems, wiring, design release engineers, Program Management, and Manufacturing teams as required to validate and resolve electrical... ...Demonstrated problem-solving skills and experience in leading projects, team leadership experience, and the ability to engage and...
...Project Manager - (Electrical/Industrial) - Hybrid/Remote Long-Term Direct Hire Frequent travel, Remote / Work from Home and Work at Corporate office (St Cloud, MN) Position Details: Seeking an experienced Project Manager to oversee full-cycle project management...
Part-Time Warehouse Assistant Location: Scottsdale, Arizona Schedule: Part-Time | Flexible Hours (Approx. 1020 hrs/week) About Rancher Hat Bar Rancher Hat Bar isthe nationwide leader in custom hat experiences, offering cowboy, rancher, and trucker hats. Weve...
...Has the authority to stop production operations with respect to safety or quality concerns. EDUCATION & EXPERIENCE: CAD / EDMS Microsoft Office Metal Stamping Expertise Robotic & Resistant Welding Forklift / Hi-Lo / Crane Experience Mechanical...