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The Health Services Specialist provides consultation, advice and technical assistance in the development and implementation of school health services and school-based teen pregnancy prevention in accordance with state and federal laws and regulations. The Specialist shares respon ...
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The Health Services Specialist provides consultation, advice and technical assistance in the development and implementation of school health services and school-based teen pregnancy prevention in accordance with state and federal laws · Responsibilities Include:Directs consults ...
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The Health Services Specialist provides consultation, advice and technical assistance in the development and implementation of school health services and school-based teen pregnancy prevention in accordance with state and federal laws and regulations. · ...
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Enterprise is a national nonprofit that exists to make a good home possible for the millions of families without one. · Coordinate and support Health & Well-Being priorities ensuring timely data recording and related reporting. · ...
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+Licensed Mental Health Therapist for Wellness Services. · +Meet with assigned consumers throughout the week and as determined by the needs of the participants in the BCDSS Wellness Program. · + · ,+ · ,+ ...
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Amid clinical workforce shortages rising healthcare costs and ongoing concerns about inequity IMPaCT unlocks the power of the grassroots community health workforce Here at IMPaCT Care we get out of bed every day to remake the American health workforce We find train and enable Com ...
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Licensed Mental Health Therapist for Wellness Services at Empowering Minds Resource Center in Baltimore. · ...
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Medical Director of Outpatient Behavioral Health Services
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We're Hiring a Health Services Clinical Manager to Join Our Team. · In this role, you will oversee and manage the day-to-day operations of the Health Services department. · This role involves ensuring high-quality member care, · managing Health Services staff consisting of clinic ...
Columbia, MD1 week ago
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Medical Director of Outpatient Behavioral Health Services
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Baltimore, MD1 week ago
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coordinator special programs health services ii, mental health
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Carroll, MD1 month ago
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Mental Health Services Clinician, Initial Consultation Team
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The Mental Health Services Clinician will provide warm, welcoming first point of contact for new clients in brief assessment and triage. · ...
Baltimore, MD3 weeks ago
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Mental Health Services Clinician, Initial Consultation Team
Only for registered members
The MHSC Initial Consultation Team will be a warm welcoming first point of contact for new clients and will be highly skilled in brief assessment and triage. · This position requires a deep knowledge of the range of services MHS provides and consistent collaborative approach to t ...
Baltimore $64,600 - $113,300 (USD)4 weeks ago
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We're changing the game with IMPaCT Care by making sure it's a place to be We provide competitive compensation and equity grants, comprehensive benefits and plenty of opportunities for team-building and fun. · GrowCount your team by partnering with community-based organizations t ...
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This position is responsible for supporting the development and implementation of training curriculum and resources that are provided to statewide people receiving services and their families, stakeholders and DDA staff. · ...
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The main purpose of this position is to provide the full performance level of professional clinical social work services to patients with severe and persistent mental illness in Springfield Hospital Center, a forensic state psychiatric hospital. · ...
Carroll, MD1 week ago
Health Services - Baltimore - TalTeam
Description
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication.
This position assists in determining acceptable medical risk to the organization by analyzing medical information of applicants for enrollment in specific policies.
This role will also understand the merits of legal or accreditation actions.ESSENTIAL FUNCTIONS:
35% Receives, researches, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and/or adjudication, Performs high-level research on topics identified as actual or potential medical policies.
25% Provides pricing of procedure codes which require individual consideration or are listed as "not otherwise classified" in CPT manual.
Interprets the descriptive or medical information utilizing the CPT and HCPCS manuals. Keeps up-to-date on coding rules and standards.25% Participates in medical policy meetings, nurses' forums, and review sessions with Medical and Dental directors, special projects and task forces committees as assigned.
15% Performs medical underwriting and risk assessment by reviewing applications of potential subscribers, as well as any appropriate medical records.
QualificationsTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Experience: 3 years acute clinical experience, previous case management, discharge planning or utilization review experience
Preferred Qualifications
Bachelor's degree in Nursing
Knowledge, Skills and Abilities (KSAs)
Ability to effectively communicate and provide positive customer service to every internal and external customer, Proficient
Strong interpersonal skills. Ability to work independently, as well as a member of a team , Advanced
Current knowledge of clinical practices and related medical policies., Proficient
Strong organizational skills, ability to prioritize responsibilities with attention to detail., Proficient
Experience in using Microsoft Office (Excel, Word, Power Point, etc.) and web-based technology., Proficient
Must possess excellent verbal and written communication skills. , Advanced
Licenses/Certifications
RN - Registered Nurse - State Licensure And/or Compact State Licensure RN-VA, DC and or MD Upon Hire Req
Additional Skills:
mbulatory Experience
Talteam Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
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Health Services Specialist
Only for registered members Baltimore, MD
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Health Services Specialist
Only for registered members Baltimore
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Health Services Specialist
Only for registered members Baltimore, MD
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Resident Service Associate, Health
Full time Only for registered members Baltimore
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Resident Service Associate, Health
Only for registered members Baltimore
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Resident Service Associate, Health
Only for registered members Baltimore, MD
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Director of Community Health Worker Services
Full time Only for registered members Baltimore
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Mental Health Therapist for Wellness Services
Full time Only for registered members Baltimore
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Director of Community Health Worker Services
Only for registered members Baltimore
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Breast Health Field Service Engineer
Full time Only for registered members Baltimore
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Mental Health Therapist for Wellness Services
Only for registered members Baltimore
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Director of Community Health Worker Services
Only for registered members Baltimore, MD
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Medical Director of Outpatient Behavioral Health Services
Only for registered members Baltimore
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Health Services Clinical Manager
Only for registered members Columbia, MD
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Medical Director of Outpatient Behavioral Health Services
Only for registered members Baltimore, MD
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coordinator special programs health services ii, mental health
Only for registered members Carroll, MD
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Mental Health Services Clinician, Initial Consultation Team
Only for registered members Baltimore, MD
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Mental Health Services Clinician, Initial Consultation Team
Only for registered members Baltimore
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Director of Community Health Worker Services
Only for registered members Baltimore, MD / MD, US
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COORDINATOR SPECIAL PROGRAMS HEALTH SERVICES III, DD
Only for registered members Baltimore, MD
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Social Worker II, Health Services, CI
Only for registered members Carroll, MD