Work Location: This is remote, in Texas. Manager prefers candidates near Austin or San Antonio , but open to Dallas/Fort Worth area. The manager is also open to candidates in NM if necessary
Contract: 2025-05-19 to 2025-12-31
Description:
The position is 100% on a clinical queue. It is staffed only with behavioral health clinicians because they are making clinical decisions to approve treatment requests or send for peer review doc to doc review. The clinicians take incoming calls from providers asking for authorization. There are times a member in crisis is routed to the queue and the clinician will assist the member through their crisis at that time.
JOB SUMMARY:
This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on the telephone, reviewing medical records, reviewing cases which involves contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necessity criteria for all levels of behavioral health care from outpatient office visits to acute in-patient to out-patient office visits.
JOB REQUIREMENTS:
PREFERRED JOB REQUIREMENTS:
...JOB SUMMARY The Certified Nursing Assistant (CNA) provides each of their assigned residents with routine daily nursing care and services following the current federal, state, and local standards, guidelines, and regulations that govern long-term care and assisted living...
...Job Description Insight Global is looking for a General Laborer. The General Laborer will be responsible for taking measurements to determine where markings, flags, and/or signs should be placed. Must be comfortable working outside. Required Skills & Experience...
...for someone whos just as passionate about building relationships as they are about creating impact. Were looking for a Social Media Manager to join our growing Brand Marketing team. In this role, youll support the execution of CALPAKs social media strategy with...
...We are looking for a skilled and experienced Full Charge Bookkeeper to join our client's team in a preferred temp-to-hire capacity... ...accounting, Finance, or a related field preferred. Equivalent experience may be considered. Experience: 3+ years of full-charge bookkeeping...
...strategies. Keep marketing databases current and organized to ensure easy access to vital company data. Requirements:: ~ Bachelor's Degree ~4+ years of experience especially in the A/E/C industry ~ Exceptional writing skills with the ability to develop...