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Prisma Health
Overview
The Physician is responsible for providing quality medical services, engaging in the diagnosis, prevention, or treatment of disease, and rendering medical treatment consistent with accepted professional standards of care. Responsibilities also include completing accurate medical records, providing after-hours call coverage, and maintaining clinical skills through continuing medical education.
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Compensation
Salary not listed
Posted
5 days ago
Cross Creek Hospital Together with Ascension Seton
The specialist monitors service utilization and acts as a liaison between managed care organizations and clinical staff to optimize reimbursement. They are responsible for conducting medical necessity reviews, managing the appeal process for denied stays, and providing staff training on documentation requirements.
9 days ago
Proactively monitor service utilization and act as a liaison between managed care organizations and clinical staff to optimize reimbursement. Responsibilities include conducting medical necessity reviews, managing the formal appeal process for denied stays, and providing staff training on documentation requirements.
New Horizons of the Treasure Coast Inc.
Provide comprehensive nursing-based care coordination for individuals with behavioral health and complex medical needs. Coordinate psychiatric and medical appointments while monitoring treatment compliance to reduce emergency room visits.
Family Medical and Counseling Service
The Patient Navigator supports population health by engaging patients to improve access to preventive care and assisting with Medicaid eligibility and recertification. The role focuses on closing care gaps and reducing social barriers to healthcare to advance value-based care goals.
$45,000 - $50,000 / YEAR
10 days ago
RCIL
Establish and deliver Individualized Service Plans to help participants live independently through community resource linkages and budgeting. Conduct home visits and collaborate with healthcare providers and housing specialists to ensure smooth transitions to independent living.
$37,856 / YEAR
11 days ago
Lakeview Health Services Inc.
The Care Manager provides support, advocacy, linkage, and coordination of services for persons with mental illness or chronic health conditions, carrying a caseload of approximately 45 individuals and conducting monthly face-to-face or telephonic contact. Responsibilities include conducting comprehensive assessments, developing person-centered plans of care, and linking individuals to necessary resources using trauma-informed practices.
$19 - $24 / HOUR
12 days ago
Acadia
The role involves monitoring patient service utilization to optimize facility reimbursement and acting as a liaison between managed care organizations and clinical staff. Key duties include conducting medical necessity reviews, managing the appeal process for denied stays, and providing staff training on documentation requirements.
The specialist monitors patient service utilization to optimize facility reimbursement and acts as a liaison between managed care organizations and clinical staff. They are responsible for conducting medical necessity reviews, managing the appeal process for denied stays, and providing staff training on documentation requirements.
15 days ago
Rebound Behavioral Health
The Utilization Specialist monitors patient service utilization to optimize facility reimbursement and acts as a liaison between managed care organizations and clinical staff. Key duties include conducting medical necessity reviews, managing the appeal process for denied stays, and providing staff training on documentation requirements.
16 days ago
17 days ago
UHS
The Intake Coordinator is responsible for facilitating requests for services and resource referrals within the behavioral health system. This role also involves assessing patient/family clinical needs and interfacing with managed care organizations and other payers.
18 days ago
The Case Manager II manages patient assessments and discharge planning within a multidisciplinary team. This includes coordinating with external providers and implementing risk assessments to ensure proper follow-up care.
Oasis Behavioral Health
The coordinator monitors service utilization to optimize facility reimbursement and acts as a liaison between managed care organizations and clinical staff. Key duties include conducting medical necessity reviews, managing the appeal process for denied stays, and providing staff training on documentation requirements.
Cardinal McCloskey Community Services
Deliver direct community-based services to children and caregivers using a person-centered planning approach to develop treatment plans. Responsible for documenting services, attending interdisciplinary team meetings, and meeting monthly service provision targets.
Village Behavioral Health
The specialist monitors service utilization to optimize facility reimbursement and acts as a liaison between managed care organizations and clinical staff. Key duties include conducting medical necessity reviews, managing the appeal process for denied stays, and providing staff training on documentation requirements.
Wilmington Treatment Center
The role involves monitoring patient service utilization and acting as a liaison between managed care organizations and clinical staff to optimize reimbursement. Key duties include conducting medical necessity reviews, managing the appeal process for denied stays, and providing staff training on documentation requirements.
22 days ago
23 days ago
The Utilization Specialist will monitor service utilization for patients to optimize reimbursement and act as a liaison between managed care organizations and clinical staff. They will conduct reviews, gather statistical information, and facilitate peer review calls.
24 days ago
