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Odyssey House Inc.New
Overview
Perform comprehensive clinical evaluations and diagnostic interviews for diverse populations to determine appropriate levels of care using DSM-5, ASAM, and LOCUS criteria. Produce insurance-ready documentation to support medical necessity and collaborate with external partners like courts and child welfare agencies.
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Compensation
$70,000 - $75,000 / YEAR
Posted
New
KVC Health SystemsNew
Provide comprehensive bio-psychosocial assessments and evidence-based therapeutic services to children, adolescents, adults, and families. Manage clinical documentation, treatment plans, and collaborate with interdisciplinary teams to ensure integrated care.
$52,000 - $64,000 / YEAR
Eliot Community Human ServicesNew
Responsibilities include completing diagnostic evaluations, comprehensive assessments, safety and risk assessments, and implementing treatment planning using various modalities like individual, couple, family, and group psychotherapy. Clinicians will establish working relationships with clients, utilize solution-based interventions, provide specialized treatments, and participate in treatment collaborative meetings.
$50 - $60 / HOUR
Temple University Health System
Responsible for collecting blood samples via venipuncture or capillary puncture while ensuring patient safety and comfort. Additionally handles urine specimens, throat cultures, and related clerical tasks.
Salary not listed
2 days ago
Carpenter Hall LLC Zinnia Exeter
Facilitate therapeutic groups on substance abuse and mental health while providing recovery-focused floor support to inpatient clients. Responsibilities include managing client behaviors, preventing premature discharge, and collaborating with a multidisciplinary clinical team.
3 days ago
Brown Medicine
Perform blood and specimen collection from pediatric and adult patients while ensuring proper documentation and patient registration. Manage clerical tasks including medical necessity follow-up, specimen transport, and patient preparation instructions.
$18 - $30 / HOUR
Essentia Health
The Senior Inpatient Coder reviews clinical documentation to assign accurate ICD-10-CM and PCS codes to ensure proper reimbursement for complex inpatient accounts. They also collaborate with clinicians and the Clinical Documentation Integrity team to resolve documentation queries and prevent coding denials.
$25 - $37 / HOUR
Palm Medical Centers
The role involves reviewing medical referrals to determine medical necessity and ensure compliance with CMS guidelines. It requires collaborating with healthcare providers and documenting findings to facilitate coordinated patient care.
Lifepoint Health
Facilitates clinical reviews for patient admissions and continued stays to determine the legitimacy of treatment and length of stay. Interfaces with managed care organizations and payers to secure insurance coverage and advocate for necessary patient treatment.
$33 - $45 / HOUR
OSF HealthCare
The specialist evaluates patient care and admission status against objective criteria to ensure medical necessity. They identify and resolve utilization issues regarding the over or under-utilization of hospital services.
Sedgwick County
Provide goal-directed case management and support to children with severe and persistent mental illness. Responsibilities include conducting risk assessments, developing treatment plans, and providing transportation to medical appointments.
$24 / HOUR
4 days ago
WVU Medicine
The RN-ACT coordinates utilization review activities and provides professional nursing care to clients within the ACT Program. They are responsible for treatment planning, clinical assessments, and maintaining compliance with regulatory and accrediting standards.
NeueHealth
The PA Nurse evaluates prior authorization requests for treatments and procedures to ensure alignment with medical necessity criteria and coverage policies. They act as a liaison between providers, patients, and health plans while documenting all activities in EMR systems.
$27 - $41 / HOUR
5 days ago
The Utilization Management Nurse evaluates and processes prior authorization requests for medical procedures, medications, and services to ensure clinical appropriateness. They also collaborate with medical directors and healthcare providers to facilitate coverage decisions and maintain compliance with regulatory standards.
$74,260 - $111,391 / YEAR
Bon Secours
The RN Care Manager coordinates care to ensure safe, seamless, and timely transitions across the continuum by identifying, assessing, planning, implementing, and evaluating required services, including social determinants of health. This role involves actively managing cases, promoting appropriate resources at the right time, and ensuring patient/caregiver goals are incorporated into transition planning.
HHC
The Care Coordinator provides skills training, conducts client assessments, and develops person-centered treatment plans for older adults. They advocate for clients to ensure access to community resources and provide crisis management and emergency interventions.
6 days ago
The Care Coordinator provides skills training and development to clients while collaborating with a treatment team to conduct assessments and revise treatment plans. They advocate for clients to ensure access to necessary community resources and services.
Gainwell Technologies LLC
The Utilization Review Nurse will conduct reviews for medical necessity and appropriateness of services, ensuring compliance with clinical criteria and policies. This includes engaging with providers, documenting findings, and assisting in training new nurses.
$65,000 - $78,000 / YEAR
The Occupational Therapist provides therapy services to patients to develop, recover, and maintain occupational skills. They complete evaluations, treatments, and collaborate with a multi-disciplinary team for optimal patient care.
7 days ago
Molina Healthcare
The role involves providing support for care management and care coordination for long-term services and supports, collaborating with a multidisciplinary team to ensure integrated delivery of care across the continuum for high-need members. Essential duties include completing comprehensive member assessments via in-person home visits, facilitating waiver enrollment, developing and implementing care plans, and monitoring their effectiveness to achieve desired member outcomes.
