Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Good understanding and working knowledge of clinical research, phases of clinical trials, current ... Associate's degree, certificate or equivalent in a scientific / healthcare discipline together with ...
Good understanding and working knowledge of clinical research, phases of clinical trials, current ... Associate's degree, certificate or equivalent in a scientific / healthcare discipline together with ...
Good understanding and working knowledge of clinical research, phases of clinical trials, current ... Associate's degree, certificate or equivalent in a scientific / healthcare discipline together with ...
Good understanding and working knowledge of clinical research, phases of clinical trials, current ... Associate's degree, certificate or equivalent in a scientific / healthcare discipline together with ...
Clinical Research Nurse, RN
San Juan, PR · On-site
Comfort working within protocol-driven environments with shifting timelines * Demonstrated ability ... social security number, driver's license information, etc) via email or messenger tools, or for a ...
Clinical Research Nurse, RN
San Juan, PR · On-site
Comfort working within protocol-driven environments with shifting timelines * Demonstrated ability ... social security number, driver's license information, etc) via email or messenger tools, or for a ...
Facility Administrator
$89K - $141K/yr
Associates degree preferred, unless required by state or local laws; Bachelor's degree in related ... You will be working with clinical and financial teams on a daily basis to produce results that ...
New
Facility Administrator
$89K - $141K/yr
Associates degree preferred, unless required by state or local laws; Bachelor's degree in related ... You will be working with clinical and financial teams on a daily basis to produce results that ...
New
Facility Administrator
Lajas, PR · On-site
$96K - $151K/yr
Associates degree preferred, unless required by state or local laws; Bachelor's degree in related ... You will be working with clinical and financial teams on a daily basis to produce results that ...
Facility Administrator
Lajas, PR · On-site
$96K - $151K/yr
Associates degree preferred, unless required by state or local laws; Bachelor's degree in related ... You will be working with clinical and financial teams on a daily basis to produce results that ...
Healthcare Operations Manager
$94K - $148K/yr
Associates degree preferred, unless required by state or local laws; Bachelor's degree in related ... You will be working with clinical and financial teams on a daily basis to produce results that ...
Healthcare Operations Manager
$94K - $148K/yr
Associates degree preferred, unless required by state or local laws; Bachelor's degree in related ... You will be working with clinical and financial teams on a daily basis to produce results that ...
Good understanding and working knowledge of clinical research, phases of clinical trials, current ... Associate's degree, certificate or equivalent in a scientific / healthcare discipline together with ...
Good understanding and working knowledge of clinical research, phases of clinical trials, current ... Associate's degree, certificate or equivalent in a scientific / healthcare discipline together with ...
Advanced Practice Provider (NP/PA) Bilingual English/Spanish
Ponce, PR · On-site
$108K - $136K/yr
... clinicians, facilities and community organizations necessary to treat the whole patient on their ... Our interprofessional care teams, which include physicians, nurses, social workers, and patient ...
Advanced Practice Provider (NP/PA) Bilingual English/Spanish
Ponce, PR · On-site
$108K - $136K/yr
... clinicians, facilities and community organizations necessary to treat the whole patient on their ... Our interprofessional care teams, which include physicians, nurses, social workers, and patient ...
Advanced Practice Provider (NP/PA) Bilingual English/Spanish
Aguadilla, PR · On-site
$98K - $125K/yr
... clinicians, facilities and community organizations necessary to treat the whole patient on their ... Our interprofessional care teams, which include physicians, nurses, social workers, and patient ...
Advanced Practice Provider (NP/PA) Bilingual English/Spanish
Aguadilla, PR · On-site
$98K - $125K/yr
... clinicians, facilities and community organizations necessary to treat the whole patient on their ... Our interprofessional care teams, which include physicians, nurses, social workers, and patient ...
$74K - $138K/yr
Social Worker, Licensed Professional Mental Health Counselor, Psychologist and Marriage & Family ... The incumbent will document all clinical interactions with eligible individuals and episodes of ...
$74K - $138K/yr
Social Worker, Licensed Professional Mental Health Counselor, Psychologist and Marriage & Family ... The incumbent will document all clinical interactions with eligible individuals and episodes of ...
Primary Care Physician - Relocation to Tucson, Arizona
San Juan, PR · On-site
$240K - $260K/yr
... social workers, case managers, and other health professionals. You'll participate in ... clinicians.Required Skills and Experience:- Preferably 2 years of experience as an Internal ...
Quick apply
Primary Care Physician - Relocation to Tucson, Arizona
San Juan, PR · On-site
$240K - $260K/yr
... social workers, case managers, and other health professionals. You'll participate in ... clinicians.Required Skills and Experience:- Preferably 2 years of experience as an Internal ...
Optometrist-Bayamon, Puerto Rico-LensCrafters
Bayamon, PR · On-site
$100 - $130/hr
Maintains safe working environment for all associates/patients. * Leads by example. Basic ... social origin, social condition, being perceived as a victim of domestic violence, sexual ...
Optometrist-Bayamon, Puerto Rico-LensCrafters
Bayamon, PR · On-site
$100 - $130/hr
Maintains safe working environment for all associates/patients. * Leads by example. Basic ... social origin, social condition, being perceived as a victim of domestic violence, sexual ...
PR · On-site
Were on the hunt for an Associate Creative Director with the taste of a curator, the brain of a ... Lead concept development for campaigns across digital, social, experiential, and traditional
Quick apply
PR · On-site
Comfortable working at heights and using ladders after successful training and certification ... age, marital status, social status, sexual orientation, gender identity, protected veteran ...
PR · On-site
Comfortable working at heights and using ladders after successful training and certification ... age, marital status, social status, sexual orientation, gender identity, protected veteran ...
Clinical Research Associate (CRA) - Cardiovascular/Vaccine/Infectious Disease- Remote
Florida, PR · On-site
Good understanding and working knowledge of clinical research, phases of clinical trials, current ... Associate's degree, certificate or equivalent in a scientific / healthcare discipline together with ...
Clinical Research Associate (CRA) - Cardiovascular/Vaccine/Infectious Disease- Remote
Florida, PR · On-site
Good understanding and working knowledge of clinical research, phases of clinical trials, current ... Associate's degree, certificate or equivalent in a scientific / healthcare discipline together with ...
Physician (Sleep Medicine)
San Juan, PR · On-site
$254K/yr
... social worker, data manager, pharmacist, dietitian, nursing and other personnel as leader of a ... Clinical Laboratory Medicine). * English Language Proficiency- Must be proficient in spoken and ...
Physician (Sleep Medicine)
San Juan, PR · On-site
$254K/yr
... social worker, data manager, pharmacist, dietitian, nursing and other personnel as leader of a ... Clinical Laboratory Medicine). * English Language Proficiency- Must be proficient in spoken and ...
We're on the hunt for an Associate Creative Director with the taste of a curator, the brain of a ... Lead concept development for campaigns across digital, social, experiential, and traditional
We're on the hunt for an Associate Creative Director with the taste of a curator, the brain of a ... Lead concept development for campaigns across digital, social, experiential, and traditional
Patient Care Technician
$25 - $32/hr
Cross functional team of clinicians including technicians, nurses, dietitians, social workers and leadership. PCTs work under the supervision of a RN. Requirements: * Desire to enter the health care ...
Patient Care Technician
$25 - $32/hr
Cross functional team of clinicians including technicians, nurses, dietitians, social workers and leadership. PCTs work under the supervision of a RN. Requirements: * Desire to enter the health care ...
Physician (Sleep Medicine)
San Juan, PR · On-site
$254K/yr
... social worker, data manager, pharmacist, dietitian, nursing and other personnel as leader of a ... Clinical Laboratory Medicine). * English Language Proficiency- Must be proficient in spoken and ...
Physician (Sleep Medicine)
San Juan, PR · On-site
$254K/yr
... social worker, data manager, pharmacist, dietitian, nursing and other personnel as leader of a ... Clinical Laboratory Medicine). * English Language Proficiency- Must be proficient in spoken and ...
Associate Clinical Social Worker information
What are some common challenges associate clinical social workers face during their supervised clinical hours, and how can they address them?
What are the key skills and qualifications needed to thrive as an associate clinical social worker?
What is an associate clinical social worker?

Full-time
Re-posted 27 days ago
Job description
PURPOSE STATEMENT:Â
Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Â
ResponsibilitiesESSENTIAL FUNCTIONS:Â
- Act as liaison between managed care organizations and the facility professional clinical staff.Â
- Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.Â
- Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay. Â
- Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.Â
- Conduct quality reviews for medical necessity and services provided. Â
- Facilitate peer review calls between facility and external organizations. Â
- Initiate and complete the formal appeal process for denied admissions or continued stay. Â
- Assist the admissions department with pre-certifications of care. Â
- Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.Â
OTHER FUNCTIONS: Â
- Perform other functions and tasks as assigned.Â
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:Â
- Required Education: High school diploma or equivalent.Â
- Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.Â
- Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferredÂ
LICENSES/DESIGNATIONS/CERTIFICATIONS: Â
- Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.Â
- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility. Â
- First aid may be required based on state or facility requirements.Â
Â
ADDITIONAL REGULATORY REQUIREMENTS:Â
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances  (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.Â
We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
Employment Type: FULL_TIME