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.
BHE GT&S JOB DESCRIPTION BHE is seeking a Gas Measurement Specialist for our Leidy Station in Renovo, PA RESPONSIBILITIES Install, operate, maintain, repair, and test diaphragm, rotary and turbine type positive displacement meters, orifice meter gauges...
...GSA Keylanes do not include Deferred rates. Processing Booking Confirmation, Monitoring/Tracking Shipment Spot Quote: RFQ to Freight Forwarder Monitoring Shipment Tracking Shipments in OTM Based on the Need by Date, determine if the shipment needs to go ocean...
...is available at Manukind is seeking a creative and motivated Social Media Marketing Intern to support the brand across multiple digital platforms. This is a paid, part-time, onsite internship of approximately 20 hours per week, designed to provide hands-on experience...
...SAT and academic tutors wanted! We tutor at an attractive Manhasset office by the LIRR train station, and at community centers in Garden City and Syosset. Great training and a collaborative team environment! $40-50/hr. Join the most professional tutoring team in Long...
...Minimum of a bachelors degree, preferably in a life science-related field. ~4+ years of experience in the use of an electronic document management system, preferably in a GxP environment. ~ Experience with Visio, SharePoint, or Veeva (or similar EDMS) is a plus....