Working remotely in a full-time capacity, the Behavioral Health Utilization Review Specialist will manage the authorization of treatment through insurance and managed care companies, performing pre-certification, concurrent, and appeal reviews while ensuring compliance with relevant regulations. Key Responsibilities Act as the liaison with insurance and managed care companies for treatment authorization, representing the agency professionally Monitor compliance with State and Federal laws and regulations related to insurance and third-party payers Process data in conjunction with a compliance consultant, presenting it effectively using established statistical methods Required Qualifications BA in Psychology or a related field Three to five years of experience in Case Management/Utilization Review in a Substance Abuse environment Knowledge of ASAM guidelines and medical terminology Familiarity with State and Federal Statutes regarding patient confidentiality laws Experience with KIPU; Best Notes experience is a plus
...GL1 is seeking Product Testers to work from home across the United States. This role offers competitive pay ranging from $25 to $45 per hour for 15-25 hours weekly. No prior experience is needed, making it a great entry-level opportunity. Responsibilities include documenting...
...individuals to join a growing remote team dedicated to supporting working families across North America. This role involves connecting... ...professional and supportive experience. This is a work-from-home opportunity with full training, ongoing mentorship, and long-term...
Aveanna Healthcare is seeking a compassionate Private Duty Nurse RN to provide skilled in-home nursing care to pediatric and adult patients. In this role, you will deliver patient-first, clinically focused care, including assessments, medication administration, and management...
...Schmidt, and others. About the role We're hiring a Senior Technical Recruiter to build our entire talent acquisition function as we... ...recruiting infrastructure that will scale with the company while executing all IC recruiting work yourself Protect the bar: You...
...organized individual to join our team as a Lot Attendant/Porter/Valet. This full-time, salary other position will be responsible for maintaining... ...set up with pricing and display materials- Safely drive and park customer vehicles upon arrival and departure- Greet customers...