-
PSG Global Solutions Lewiston, United StatesThis job was posted by : For more information, please see: &&Behavioral Health Utilization Management Clinician &&&&Telecommute within WA, OR, UT, or ID &b& &/b&&&&&&&&&&b&At Cambia, our members need us more than ever, and to continue serving them, w Behavioral, Clinician, Health ...
-
Cambia Health Solutions, Inc Lewiston, United States· Integrated Care Management Nurse or Clinician · Work from home within Oregon, Washington, Idaho, or Utah · Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. · Who We Are Looking For: · Every day, Cambia's ...
-
Cambia Health Solutions, Inc Lewiston, ID, United StatesIntegrated Care Management Nurse or Clinician · Join our to create a person-focused and economically sustainable health care system. · Every day, Cambia's dedicated team of Care Management Nurses and Clinicians are living our mission to make health care easier and lives better. ...
-
Cambia Health Solutions, Inc Lewiston, ID, United StatesIntegrated Care Management Nurse or Clinician Work from home within Oregon, Washington, Idaho, or Utah Build a career with purpose. Join our to create a person-focused and economically sustainable health care system. Who We Are Looking For: · Every day, Cambia's dedicated te ...
-
Nurse Practitioner
2 weeks ago
Truhealth LLC Lewiston, United StatesJob Description · Come Grow with Us · TruHealth is a division of American Health Partners, a multifaceted company with operations in multiple states. We own nursing homes, health plans for Medicare beneficiaries living in long-term care facilities, as well as divisions offering p ...
-
Practice Coordinator
2 weeks ago
10046 Sound Inpatient Phys Inc (SIP) Lewiston, United States Part timeJob Description · Job DescriptionAbout Sound: · Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-pl ...
-
Practice Coordinator
3 weeks ago
10046 Sound Inpatient Phys Inc (SIP) Lewiston, United StatesJob Description · Job DescriptionAbout Sound: · Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-pl ...
-
Practice Coordinator
1 week ago
10046 Sound Inpatient Phys Inc (SIP) Lewiston, United States Part timeJob Description · Job DescriptionAbout Sound: · Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-pl ...
-
Practice Coordinator
3 weeks ago
10046 Sound Inpatient Phys Inc (SIP) Lewiston, United StatesJob Description · Job Description · About Sound: · Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 4 ...
-
Practice Coordinator
5 days ago
Sound Physicians Lewiston, United States Part timeAbout Sound: · Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. F ...
-
Practice Coordinator
3 weeks ago
Sound Physicians Lewiston, United StatesAbout Sound: · Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. F ...
-
Practice Coordinator
2 weeks ago
Sound Physicians Lewiston, United States Part timeAbout Sound: · Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. F ...
-
Practice Coordinator
3 weeks ago
Sound Physicians Lewiston, United StatesAbout Sound: · Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. F ...
-
Physical Therapy Assistant
2 weeks ago
Idaho State Job Bank Lewiston, United StatesPhysical Therapy Assistant - Skilled Nursing Facility - at CareerStaff Unlimited in Lewiston, Idaho, United States Job Description Physical Therapy Assistant - Skilled Nursing Facility - CareerStaff Unlimited is seeking aPTA for a full-time, 13-week contractopportunity in a Skill ...
-
Director of Clinical Services
3 weeks ago
Elite Home Health & Hospice Clarkston, United StatesJOB SUMMARY · The Director of Clinical Services (DCS) is responsible for the overall direction of home health clinical services. The DCS establishes implements and evaluates goals and objectives for home health services that meet and promote the standards of quality and contribu ...
-
Customer Service Representative
2 weeks ago
R1 Lewiston, United StatesLocation: Scion St. Joseph Regional Medical Center · Shift Hours: PRN- part time, work as needed. Open availability required for as needed shifts including overnight availability. Holiday and weekend availability is required. · As our Customer Service Representative, you'll wo ...
-
Associate Medical Director or Medical Director
3 weeks ago
Idaho State Job Bank Lewiston, United StatesAssociate Medical Director or Medical Director - R-4561_ _3-4185 at Cambia Health Solutions in Lewiston, Idaho, United States Job Description Associate Medical Director or Medical Director (DOE) Remote in ID, OR, WA, UT Experience in a surgical specialty and/or coding experience ...
-
Customer Service Representative
6 days ago
Idaho State Job Bank Lewiston, United StatesCustomer Service Representative at R1 RCM in Lewiston, Idaho, United States Job Description Location: Scion St. Joseph Regional Medical Center Shift Hours: Monday - Friday 8:00AM-4:30PM As our Customer Service Representative , you'll work (a variety of shifts available) to help o ...
-
Customer Service Representative
4 days ago
R1 RCM Lewiston, United States**Location: Scion St. Joseph Regional Medical Center** · **Shift: Variety of Full Time and PRN- part time, flexible shifts available. Open availability is preferred** · As our **Customer Service Representative** , you'll work to help our patients check into the hospital. It's fas ...
-
Director of Clinical Services
3 weeks ago
Elitehhh Clarkston, United StatesDirector of Clinical Services - Home Health page is loaded · Director of Clinical Services - Home Health · Apply · locations · Clarkston, WA · time type · Full time · posted on · Posted 29 Days Ago · job requisition id · JR43282 · JOB SUMMARY · The Director of Clinical ...
Behavioral Health Care Management Clinician - Lewiston, United States - Cambia Health
Description
This job was posted by : For more information, please see:Behavioral Health Care Management Clinician
Remote within OR, WA, UT, or ID. Candidates outside of these states will not be considered
Are you a Licensed Behavioral Health Professional that is passionate about making a difference? In this position, you would provide clinical care management to best meet the member\'s specific healthcare needs and to promote quality and cost-effective outcomes.
You would oversees a collaborative process with the member and those involved in the member\'s care to assess, plan, implement, coordinate, monitor and evaluate care as needed.
ResponsibilitiesResponsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation.
Assessment:
collection of in-depth information about a member\'s situation and functioning to identify individual needs.
Planning:
identification of specific objectives, goals, and actions designed to meet the member\'s needs as identified in the assessment.
Implementation:
execution of the specific case management activities that will lead to accomplishing the goals set forth in the plan.
Coordination:
organization, securing, integrating and modifying resources.
Monitoring:
gathering sufficient information to determine the plan\'s effectiveness and the evaluation phase should determine the effectiveness of reaching the desired outcomes.
Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care. Utilizes evidence-based criteria that incorporates current and validated clinical research findings. Practices within the scope of their license.Consults with physician advisors to ensure clinically appropriate determinations.
Serves as a resource to internal and external customers.
Collaborates with other departments to resolve claims, quality of care, member or provider issues.
Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts.
Responds in writing or by phone to members, providers and regulatory organizations in a professional manner while protecting confidentiality of sensitive documents and issues.
Provides consistent and accurate documentation.Plans, organizes and prioritizes assignments to comply with performance standards, corporate goals, and established timelines.
Minimum Requirements
Knowledge of health insurance industry trends, technology and contractual arrangements.
General computer skills (including use of Microsoft Office, Outlook, internet search). Familiarity with health care documentation systems.
Strong oral, written and interpersonal communication and customer service skills.
Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively.
Strong organization and time management skills with the ability to manage workload independently.
Ability to think critically and make decision within individual role and responsibility.
Normally to be proficient in the competencies listed above
Behavioral Health Clinical Manager would have a Master\'s Degree in Behavioral Health Discipline and 3 years of case management, utilization management, disease management, or behavioral health case management experience or equivalent combination of education and experience.
Must have 3 years direct behavioral Health clinical experience as an independently licensed Master\'s level Behavioral Health Clinician (no associate or interns) in o e of the areas of Psychology, Counselling, Social Work, or Marriage and Family Therapy (LICSW, LCSW, LMHC, LPC and LMFT).
#LI-Remote
The expected hiring range for a Behavioral Health Care Management Clinician is \$ \$44.00 an hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history.
Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits.
In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current.
Some highlights:
medical, dental, and vision coverage for employees and their eligible family members
annual employer contribution to a health savings account (\$1,200 or \$2,500 depending on medical coverage, prorated based on hire date)
p