Harboroaks

60 Harboroaks Jobs Hiring Near You

$65 - $90/hr

Overview PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ESSENTIAL FUNCTIONS: * Act as liaison between managed ...

New

Therapist 1

Texarkana, AR ยท On-site

$50 - $75/hr

Overview PURPOSE STATEMENT: Assess, diagnose and provide clinical services for those with behavioral health disorders. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Master's degree in Social Work ...

New

Chief Operating Officer

Fordyce, AR ยท On-site

$65 - $85/hr

Overview Provide management oversight and direction for the day-to-day operational activities of the facility. Responsibilities ESSENTIAL FUNCTIONS: * Manage one or more departments efficiently and ...

New

Therapist 1- Outpatient

Fort Myers, FL ยท On-site

$50 - $75/hr

Overview PURPOSE STATEMENT: Assess, diagnose and provide clinical services for those with behavioral health disorders Responsibilities ESSENTIAL FUNCTIONS: * Apply psychotherapeutic techniques and ...

New

Therapist - PRN

Boca Raton, FL ยท On-site

$50 - $70/hr

Overview Come join our team as a PRN Therapist at Wellness Resource Center! We are looking for individuals who are passionate about behavioral health and have experience in clinical healthcare risk ...

New

Manager Clinical Services

Valdosta, GA ยท On-site

$70 - $90/hr

Overview Plan, implement and coordinate the clinical services offered by the facility. Responsibilities ESSENTIAL FUNCTIONS: * Provide oversight and support to all clinical operations in areas ...

Director of Risk Management

Danville, PA ยท On-site

$120 - $180/hr

Overview Make a Meaningful Impact on Patient and Workplace Safety. As the Director of Risk Management , you will provide strategic leadership for all risk management activities across our facility.

Counselor/SAC/SAC-IT

Madison, WI ยท On-site

$52 - $70/hr

Overview Seeking: Substance Use Counselor - SAC, SACIT, CSAC, LPC Full time hours Why Join * Competitive compensation with industry leading annual performance-based bonus opportunity * Comprehensive ...

New

Manager - Facility Operations

Tucson, AZ ยท On-site

$70 - $100/hr

Overview PURPOSE STATEMENT: Responsible for the general and preventive maintenance of the equipment, building, furniture, fixtures and grounds of the facility, to include monitoring work performed by ...

New

Overview Vermilion Behavioral Health Systems is seeking a Full Time Clinical Therapist License Reqirements are: CSW, PLPC at minimum. SIGN ON BONUS: $2500 PURPOSE STATEMENT: Assess, diagnose and ...

New

Specialty Therapist

Saddlebrooke, AZ ยท On-site

$52 - $70/hr

Overview Sierra Tucson, a world renowned residential treatment center, is seeking a Full time Specialty Therapist to work at our beautiful campus, located at 39580 S Lago del Oro Parkway, Tucson AZ.

New

Overview PURPOSE STATEMENT: Plan, implement and coordinate the clinical services offered by the facility. Responsibilities ESSENTIAL FUNCTIONS: * Provide oversight and support to all clinical ...

New

Therapist

Conway, AR ยท On-site

$50 - $70/hr

Overview PURPOSE STATEMENT: Diagnose and treat mental and emotional disorders, whether cognitive, affective or behavioral. Responsibilities ESSENTIAL FUNCTIONS: * Apply psychotherapeutic techniques ...

New

Dietician PRN

Saddlebrooke, AZ ยท On-site

$52 - $80/hr

Overview Sierra Tucson is seeking a compassionate, knowledgeable, and detail-oriented PRN Registered Dietitian to join our team. This role offers flexible scheduling and is ideal for professionals ...

New

Dietician - Outpatient

Tucson, AZ ยท On-site

$50 - $70/hr

Overview Sonora is a leading behavioral health provider, operating a 140-bed inpatient hospital along with ECT and outpatient therapy services. Located in Tucson, Arizona, we are dedicated to serving ...

New

Overview PURPOSE STATEMENT: Manage the daily operation of department(s) that prepare and serve food and beverages. Responsibilities ESSENTIAL FUNCTIONS: * Plan, coordinate or direct purchasing, food ...

New

Therapist (Full-Time)

Knoxville, TN ยท On-site

$52 - $78/hr

Overview PURPOSE STATEMENT: Assess, diagnose and provide clinical services for those with behavioral health disorders Responsibilities ESSENTIAL FUNCTIONS: * Apply psychotherapeutic techniques and ...

New

Outpatient Therapist

Austin, TX ยท On-site

$55 - $75/hr

Overview PURPOSE STATEMENT: Diagnose and treat mental and emotional disorders, whether cognitive, affective or behavioral. This role will be an outpatient role focused on our PHP/IOP programs.

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$65 - $90/hr

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Job description

Overview

PURPOSE STATEMENT:

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.

Responsibilities

ESSENTIAL FUNCTIONS:

  • Act as liaison between managed care organizations and the facility professional clinical staff.
  • 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.
  • Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
  • 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.
  • Conduct quality reviews for medical necessity and services provided.
  • Facilitate peer review calls between facility and external organizations.
  • Initiate and complete the formal appeal process for denied admissions or continued stay.
  • Assist the admissions department with pre-certifications of care.
  • Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.

OTHER FUNCTIONS:

  • Perform other functions and tasks as assigned.
Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

  • Required Education: High school diploma or equivalent.
  • Preferred Education: Associate's, Bachelor's, or Masterโ€™s degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
  • Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred

LICENSES/DESIGNATIONS/CERTIFICATIONS:

  • Required Licensure: LPN or RN 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.
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
  • First aid may be required based on state or facility requirements.

ADDITIONAL REGULATORY REQUIREMENTS:

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.

We are committed to providing equalemployment opportunities to all applicants for employment regardless of an individualโ€™s characteristics protected by applicable state, federal and local laws.

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