The provider will conduct in-home visits to perform assessments, manage chronic conditions, and develop individualized treatment plans for patients. They will also collaborate with an interdisciplinary team to ensure coordinated care and maintain accurate EMR documentation.
The Engagement Coordinator is responsible for conducting outbound calls to schedule annual wellness exams for insured members. They must maintain accurate documentation of member interactions and provide clear guidance to support the primary care team.
The Manager of Clinical Operations will lead regional clinical teams to ensure high-quality care delivery, effective care transitions, and strong clinical outcomes. They are responsible for overseeing team performance, managing regulatory compliance, and collaborating with stakeholders to achieve operational goals.
The clinician provides integrated care management and utilization management services for members with substance use disorders. Responsibilities include conducting clinical assessments, developing care plans, and coordinating referrals across the continuum of care.
The Clinical Response Clinician provides clinical customer service, utilization management, and crisis support to members, families, and providers. Responsibilities include conducting telephonic screenings, facilitating referrals, and maintaining accurate clinical documentation in compliance with regulatory standards.
The coordinator provides administrative and operational support for the Benefits Determination Unit, including scheduling peer-to-peer reviews and physician consultations. They are responsible for maintaining accurate documentation, tracking time-sensitive review activities, and ensuring compliance with regulatory and organizational requirements.
The Senior Care Access Coordinator facilitates timely access to behavioral health services through proactive member outreach and care coordination. They collaborate with clinical teams to remove barriers to care and ensure continuity of services for members.
The Care Navigator serves as the primary point of contact for members and providers, handling behavioral health inquiries and facilitating access to care. They are responsible for accurate documentation, call routing, and providing empathetic support while maintaining HIPAA compliance.
The IT Business Analyst manages business information systems by collaborating with stakeholders to define requirements and deliver strategic technical solutions. They also oversee Genesys Cloud administration and contact center operations to optimize performance and resolve production issues.
The Medical Director provides clinical leadership and oversight for behavioral health programs, including utilization management and quality initiatives. This role partners with health plans and providers to improve access to care and ensure regulatory compliance.
The Senior Analyst will lead reporting and analytics programs to identify and prevent healthcare fraud, waste, and abuse. They will also partner with clinical strategy teams to perform population health analysis and evaluate the financial impact of operational initiatives.
The provider will conduct in-home visits to perform assessments, manage chronic conditions, and develop individualized treatment plans for patients. They will also collaborate with interdisciplinary teams to ensure coordinated care and maintain accurate EMR documentation.
The provider will conduct in-home patient visits to perform assessments, manage chronic conditions, and develop individualized treatment plans. They will collaborate with an interdisciplinary team to ensure coordinated care and maintain accurate EMR documentation.
The provider will conduct in-home visits to perform assessments, manage chronic conditions, and develop individualized treatment plans for patients. They will also collaborate with interdisciplinary teams and maintain accurate EMR documentation to ensure coordinated care.
The Care Manager coordinates and oversees behavioral health services to ensure members receive appropriate, high-quality care while promoting engagement and recovery. They act as a central point of contact to integrate care management, utilization management, and collaborative partnerships.
The Engagement Coordinator is responsible for conducting outbound calls to schedule annual wellness and benefit exams for insured members. They must also maintain accurate documentation of member interactions and provide clear guidance to patients regarding their scheduled services.
The Care Access Coordinator manages administrative tasks, processes authorizations, and ensures efficient access to behavioral health services. They serve as a frontline resource for members and providers while triaging cases for clinical teams.
The Medical Coding Auditor conducts concurrent and retrospective audits to ensure coding accuracy and compliance. They provide feedback and collaborate with stakeholders to improve coding practices.
The Data Informatics Analyst transforms complex clinical and payer datasets into actionable insights to drive data-informed decision-making. They lead analytical initiatives, ensure data quality, and contribute to the evolution of enterprise data architecture.
