5 inpatient authorization nurse jobs found

Job Specific: The main purpose of this position is to reduce the personal and work costs associated with emotional health issues, assist in maintaining a safe workplace, and act as a tangible demonstration that the corporation is concerned about its employees.  Through working with employees regarding behavioral and emotional health issues, substance abuse and other personal matters, efficient and compassionate services are provided toward restoring diminished workplace performance and supporting healthy functioning of employees and their families. ESSENTIAL FUNCTIONS Provides expert consultation to employees and/or supervisors on a variety of workplace and work based issues. Provides employee consultation related to specific personal problems and concerns. Provides information and referral to community resources as appropriate. Provides crisis assessment and intervention as needed. Completes clinical and administrative documentation and required forms in a clear and concise...

Seeking active independent CA State behavioral health or RN licensed candidates with behavioral health/psychiatric healthcare experience, (LCSW, LMFT, LPCC, RN etc). Previous experience in Eating Disorders or Substance Abuse a plus! This position is responsible for the assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate and effective person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible for the development of individualized care plans for high and moderate stratified members in the Medicaid, Medicare, and Whole Health markets. Possesses clinical knowledge, understands best practices and continuous learning skills, reviews member records, and works in conjunction with primary care, community benefits, and other support opportunities to develop a long term care...

This position is responsible for the assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate and effective person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible for the development of individualized care plans for high and moderate stratified members in the Medicaid, Medicare, and Whole Health markets. Possesses clinical knowledge, understands best practices and continuous learning skills, reviews member records, and works in conjunction with primary care, community benefits, and other support opportunities to develop a long term care plan to guide the member through their mental health care. Oversees the work of its assigned care support team and work with non-licensed support staff to meet standards of care and performance set by Member Market Leads and the Care...

Join Aledade as a Practice Transformation Specialist (PTS) and personally make an impact on patient care. As a PTS you will make frequent visits to your assigned group of practices in order to assist the physicians and staff with practice transformation plans to shift into value-based care. Being a PTS means you help practices by being a project manager for workflows, clinical calls, and workgroup participation, driving toward outcomes in the practice that improve care and reduce costs. The clinic will depend on the PTS to keep initiatives organized and track goal performance. As a PTS you will partner with your practices to help design, deploy, and train staff on workflows to incorporate the Aledade technology into their daily activities. The mission is to change the landscape of healthcare delivery for that practice. It is a role that demands a solid foundational understanding of the healthcare delivery system for primary care practices, clinical plus administrative...

Forward is on a bold mission to make high quality healthcare available to a billion people across the globe. We're building the world's most advanced healthcare platform from the ground up, combining hardware, software and doctors under one roof. Our ideal care provider is someone motivated to provide high quality, patient-centered care in a remote telemedicine setting. Doctors who do well at Forward embrace system-based practice and are interested in working in an evolving care setting where the tools you use to provide care are frequently updated and improved. This includes actively participating in feedback to our engineering teams to inform new products and product updates. This is an ideal opportunity for those seeking a flexible opportunity to deliver primary care via telemedicine. Forward was founded in January 2016 by former executives and engineering leaders from Google and Uber. We are funded by some of the world's best investors and entrepreneurs including Founder's...