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The Social Worker serves as an advocate for claimants, providing access to community services and developing programs to improve patient care. They handle complex issues, provide emotional support, and maintain accurate records of client interactions.
As an Intake Coordinator - Clinical, you will be responsible for the timely and accurate entry of home health referrals and communication with care center and business development staff. You will also utilize clinician’s state license to obtain orders for admissions when appropriate.
The clinician serves as a clinical co-manager on behavioral health claims, providing expertise in analyzing clinical information and negotiating return-to-work plans. They also review and evaluate disability claims to determine the level of functioning based on behavioral health conditions.
The Manager of Clinical Services and Operations provides operational leadership for clinical teams, ensuring high-quality and compliant care. This role involves overseeing program implementation, monitoring KPIs, and driving continuous improvement initiatives.
The Pharmacy Contracting Professional 2 ensures all published materials support the contracting process and may perform analysis regarding pharmacy claims and purchasing data. They draft communications for stakeholder review and coordinate with various departments to publish communications.
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The Senior Pharmacy Contracting Professional conducts all aspects of pharmaceutical contracting and pricing, including development, implementation, and maintenance. They oversee relationships with Humana pharmacy partners and support pharmacies throughout the contracting process.
The Clinical Document Integrity Specialist will review inpatient medical records for completeness and accuracy, ensuring effective communication with healthcare providers to suggest necessary documentation improvements. They will collaborate with various healthcare professionals to facilitate accurate documentation that reflects the patient's clinical status.
The Teletherapist will provide therapy through a HIPAA compliant teletherapy platform in standard 45-60 minute sessions. Responsibilities include completing assessments, treatment plans, and progress notes while providing input on strategies to help clients.
Conduct thorough patient assessments and develop personalized treatment plans via video visits. Collaborate with a multidisciplinary team to deliver the highest standards of care.
Conduct thorough patient assessments and develop personalized treatment plans via video visits. Collaborate with a multidisciplinary team to deliver the highest standards of care.
The APP works remotely to manage provider in-basket folders, including patient messages and urgent refills. They collaborate with MA and nursing staff to ensure patient care and coverage during provider absences.
The Nurse Practitioner will work directly with patients in a structured, fully remote environment, supporting recovery in alignment with harm reduction principles. They will be responsible for prescribing buprenorphine-based medications and initiating care as part of their daily practice.
As a Medical Economics Analyst, you will provide consultative support and medical cost-based analysis of markets and network initiatives. You will analyze utilization and unit cost medical cost drivers and manage multiple projects to improve patient care.
As a Geode Health Behavioral Health Therapist, you will diagnose and treat mental health disorders and provide psychotherapy across a spectrum of mental healthcare conditions. You will collaborate with other healthcare professionals to provide care coordination and crisis intervention when needed.
Teach assigned courses in Health Services Administration and provide high-quality instruction. Enhance the curriculum using technology and maintain a strong faculty-student relationship.
Teach assigned courses in Health Services Administration and provide high-quality instruction. Enhance the curriculum using technology and maintain communication with students to support their academic success.
Teach assigned courses in Health Services Administration and provide high-quality instruction. Be available to students for support and feedback, while adhering to university policies and enhancing the curriculum with technology.
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Teach assigned courses in Health Services Administration and provide high-quality instruction. Enhance the curriculum using technology and be available to students for support and feedback.
Teach assigned courses in Health Services Administration and provide high-quality instruction. Be available to students for feedback and support their academic success.
Teach assigned courses in Health Services Administration and provide high-quality instruction. Enhance the curriculum using technology and maintain a strong faculty-student relationship.
The RN Nurse Navigator Triage provides nursing triage services and health advice for patients over the phone and in person. Responsibilities include assessing patients' acuity levels, providing education related to diagnostic testing, and coordinating care across departments.
The Clinical Training Manager will be responsible for executing hands-on training and education of the VELYS Robotic-Assisted Solution with Healthcare Professionals. This role involves conducting training for physicians and hospital staff while ensuring adherence to quality and regulatory standards.
The radiologist will perform remote diagnostic imaging interpretations and collaborate with colleagues on complex cases. The position allows for flexible scheduling and focuses on maintaining a work-life balance.
As an Advanced Practice Practitioner, you will provide clinical care to patients receiving medication for opioid use disorder and a narrow suite of mental health conditions. You will determine individualized treatment plans, conduct behavioral health evaluations, and monitor medication management for patients.
As an Advanced Practice Practitioner, you will provide clinical care to patients receiving medication for opioid use disorder and a narrow suite of mental health conditions. You will work closely with other clinicians to deliver compassionate, evidence-based treatment and ensure patients receive appropriate care as their needs evolve.
The Clinical Country Site Lead (CCSL) provides local operational and scientific expertise to support global clinical development strategy and ensures the delivery of local clinical trials. This role acts as a primary contact for CRO staff and global teams, focusing on quality, patient safety, and oversight of monitoring activities.
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The Client Coordinator will navigate CMS portals to process and enter case data into internal systems while ensuring the accuracy and completeness of medical records. They will also respond to client inquiries and maintain compliance with regulatory standards.
This role ensures clinical programs and workflows are delivered accurately and on time, focusing on evaluating population health programs within Value Based Contracting. The Clinical Consultant provides consultative solutions to improve quality, increase efficiency, and drive cost savings within client organizations.
The Behavioral Health Care Manager II is responsible for managing psychiatric and substance abuse treatment through telephonic or written review. This role involves assessing member needs, coordinating care, and promoting effective use of health benefits.
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