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Pyramid Healthcare
Overview
Assist individuals in establishing recovery supports and connections within the facility and community. Provide lived experience expertise while collaborating with a multi-disciplinary team to facilitate group sessions and maintain medical records.
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Compensation
Salary not listed
Posted
11 days ago
Psychiatric Medical Care
Provides administrative and clerical support for an adolescent behavioral health program, including managing intakes and discharge planning. Responsibilities also include monitoring clients during PHP time and leading psychoeducational groups.
$55,000 - $60,000 / YEAR
25 days ago
UHS
The Registered Nurse provides safe, competent nursing care to patients according to facility policies, offering professional leadership and support to the healthcare team based on Patient Centered Care principles. Duties include performing various psychoeducation sessions, developing nursing-related programs, participating in treatment plan development, and managing patient chart documentation.
1 month ago
The Utilization Management Coordinator will proactively monitor the utilization of continuum services and work to optimize reimbursement for the hospital. Key duties involve conducting admission, concurrent, and extended stay reviews, preparing appeals for third-party payors, and ensuring timely discharge information is communicated.
2 months ago
Baptist
Case Managers apply systems and information to improve healthcare practice, managing medical, social, and mental health conditions collaboratively to achieve optimal patient wellness and coordinated, cost-effective care. Responsibilities include assessing patient needs, applying InterQual criteria for service determination, and developing/coordinating transition and discharge plans with physicians and the interdisciplinary team.
The Utilization Management Specialist handles calls, investigative work, and clinical reviews with insurance companies, managed care entities, and external reviewers. This role also supports discharge planning statistical collection and general department assistance.
We Level Up
The specialist is responsible for completing tasks related to preadmission reviews, continued stay reviews, medical necessity requests, and chart audits to ensure appropriate services are provided in the least restrictive environment. Key duties include obtaining necessary treatment authorizations, conducting concurrent reviews, arranging peer reviews, and coordinating Letters of Medical Necessity.
$50,000 - $90,000 / YEAR
Tangram, Inc.
The Wellness Coordinator proactively coordinates client healthcare to maintain high-quality health services, ensuring the integrity of health plans through consultation and training staff on assigned subjects to meet competency standards. Duties include participating in case conferences, assisting with required paperwork like reviews and plan of care development, and performing initial consumer admission assessments.
UF Health
The role involves conducting admission and concurrent reviews to ensure patients receive appropriate levels of care. It also includes identifying patients who do not meet criteria and facilitating their transition to alternative care levels.
3 months ago
Larkin Community Hospital
The Case Manager performs and documents patient assessments, manages concurrent reviews, and contacts HMOs daily to obtain insurance authorization for patient admissions and continued stays. Responsibilities also include developing comprehensive plans of care from admission to discharge, ensuring efficient service use, and managing discharge planning coordination with physicians.
WVU Medicine
The role involves collaborating with the Medical Director to reduce care variance, ensure timely discharges, and refer members to appropriate resources. Key duties include assisting in the build and implementation of care management review processes like Prior Authorization and Concurrent Reviews.
