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State of Florida
Overview
Conduct comprehensive assessments for nursing facility placement and home and community-based services to determine the appropriate Level of Care. Maintain accurate medical records in the CIRTS system and collaborate with interdisciplinary teams to ensure proper client placement.
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Compensation
$3,390 - $4,572 / MONTH
Posted
7 days ago
Bakersfield Behavioral Healthcare Hospital
The specialist reviews medical records to prepare clinical appeals and manage authorizations and denials for patients. They coordinate with external case managers and insurance organizations to ensure certification of benefits and guide the treatment team on requirements.
$27 - $33 / HOUR
28 days ago
Acentra Health, LLC
Conduct needs-based eligibility assessments for Medicaid beneficiaries under the PCS and CAP programs to determine required levels of care. Ensure assessments are completed within established timeframes and coordinate with case management entities to develop appropriate service plans.
Salary not listed
1 month ago
Montage Health
The Ohana Therapist is responsible for providing evaluations and conducting individual, family, and group therapy sessions for children, adolescents, and their families. Additionally, the role involves providing mental health education to patients, the community, and other professionals as appropriate.
$53 - $71 / HOUR
The therapist provides evaluations and individual, family, and group therapy to children, adolescents, and their families. They are also responsible for delivering mental health education and collaborating with a multidisciplinary team to ensure quality care.
$55 - $74 / HOUR
Lifepoint Health
Facilitates the initial response, assessment, and referral process to determine the appropriate level of care for behavioral health patients. Manages admission paperwork and coordinates pre-certification with insurance companies.
Capital Health (US)
This role is responsible for evaluating participants based on PACE program criteria to determine the Level of Care for new and current enrollees, which includes communicating findings to the IDT team and explaining the PACE model to families. Essential functions also involve accurately inputting assessments into the database, ensuring compliance, and assisting in developing care plans based on assessment information.
$72,779 - $95,077 / YEAR
University of Vermont Health Network
The Registered Nurse will provide care for long-term care patients awaiting placement, managing a variety of diagnoses. Strong communication and leadership skills are essential for this role.
$39 - $65 / HOUR
The Occupational Therapist provides therapy services to children and adolescents, focusing on improving behavioral health and functioning. Responsibilities include patient evaluation, treatment planning, and program development.
$62 - $83 / HOUR
2 months ago
This role involves evaluating participants based on PACE program criteria to determine their Level of Care. The assessor communicates findings with the interdisciplinary team and assists in developing care plans.
Mount Sinai Health System
The Case Manager is responsible for all aspects of case management for an assigned patient group, focusing on determining the appropriateness of the Level of Care and developing the plan of care. This role involves active participation in clinical initiatives aimed at reducing length of stay, improving efficiency, quality, and resource utilization.
UHS
The Utilization Review Coordinator gathers and coordinates patient information for internal and concurrent reviews with insurance companies, negotiating and advocating on behalf of the patient and hospital. Key duties include assessing the appropriate level of care, reviewing discharges, completing continued stay reviews, and handling pre-certifications to ensure timely completion of daily workloads.
The Registered Nurse is responsible for executing all aspects of the hospital's intake and admission process, which includes handling inquiry calls, communicating with referral sources, assessing mental health status, and making patient safety and level of care recommendations to the physician. Duties also involve verifying insurance, coordinating admissions with staff, following EMTALA regulations, and documenting all necessary information in Med Series 4.
NORTHEAST TREATMENT CENTER
The Counselor will provide assessment and treatment services, maintaining an active caseload of clients and ensuring all clinical documentation adheres to Pennsylvania Department of Health and CARF standards. Key duties include developing Comprehensive Recovery Plans, documenting services, and performing Urine Drug Screens as required.
$45,000 - $50,000 / YEAR
This role involves performing daily concurrent medical record review to assess medical necessity and level of care appropriateness, along with post-hospital planning and managing quality and risk management issues. The Case Manager actively assists physicians and staff by facilitating patient care through interaction with hospital departments and community services to assure the continuum of care.
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.
MVP Recovery
The Assessor provides substance use level of care assessments based on ASAM criteria and maintains accurate patient records. They also coordinate continuum of care activities and ensure compliance with regulatory standards and funding requirements.
4 months ago
