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.
...Homecare, we're seeking passionate and dedicated Certified Nursing Assistant (CNA/HHA) to join our team. If youhave a heart for helping... ...35,000 to $45,000 annually. Compensation is dependent on experience, tenure, and number of hours worked. The bottom range indicates...
**Overview****Position:** Pharmacy Technician**Location: Select Specialty Hospital San Diego****Schedule: Full Time****Compensation: $23.00-$30.00 per hour, pay based on years of experience.****Select Specialty Hospital** is a critical illness recovery hospital committed...
...for raises* Bonuses available* Incentives for exceptional work* Daily Pay* Dental and Vision Insurance* Accident Insurance* Hospital Insurance* Short-term Disability (STD) Insurance* Critical Illness Insurance* Whole Life Insurance* Opportunities for overtime...
...compassion and respect. Our continued focus on the patient experience informs our caregivers on how to provide care that is... ...staff personnel. Responsible for decontaminating, cleaning, processing, assembly, sterilizing, storage and distributing medical/surgical devices and...
Seeking a nanny/babysitter near 95991 to provide assistance during remote work. Applicant must have experience with childcare duties. Qualifications A love of working with children Excellent communication skills Ability to follow directions Passion for helping...