The Clinical Reviewer evaluates clinical documentation to determine the medical necessity and appropriateness of behavioral health services. They also conduct functional needs assessments and coordinate care for individuals across community-based settings.
The strategist will develop and implement communications and outreach strategies to support health care contracts and corporate initiatives. They are responsible for creating engaging content across various digital and print channels while maintaining brand standards and project workflows.
The Clinical Reviewer evaluates clinical documentation to determine the medical necessity and appropriateness of behavioral health services. They also perform functional needs assessments and support care coordination to connect individuals with community-based services.
The analyst will lead departmental budgeting, financial planning, and the development of pricing strategies for new and existing business. They will also build complex financial models to project revenue and expenses while providing actionable insights to leadership.
Clinical Reviewers evaluate therapy authorization requests and medical records to determine the medical necessity and appropriateness of care. They document decisions, apply clinical guidelines, and collaborate with providers and physician advisors to ensure accurate and timely review outcomes.
The Senior Improvement Advisor provides expert consultation and project leadership to healthcare organizations serving American Indian and Alaska Native communities. They are responsible for designing learning collaboratives, facilitating technical assistance, and building strong relationships with Tribal leaders and healthcare partners.
The Clinical Reviewer evaluates clinical documentation to determine the medical necessity and appropriateness of behavioral health services. They also perform functional needs assessments and coordinate care for children, youth, and adults within an electronic medical record system.
The Behavioral Health Case Manager will conduct face-to-face assessments and develop person-centered service plans for individuals with serious and persistent mental illness. They will also monitor service plans and assist with transitions between community and institutional settings.
The Program Coordinator provides administrative and operational support to clinical teams serving individuals with chronic mental illness. Key tasks include scheduling appointments, managing case workflows, performing data entry, and maintaining accurate records in compliance with privacy regulations.
The Clinical Reviewer evaluates clinical documentation to determine the medical necessity and appropriateness of behavioral health services. They also perform functional needs assessments and support service coordination to connect individuals with community-based care.
