Virtual Health reputed company

Job Brief: reputed company Networks has an exciting opportunity to join our Virtual Behavioral Health integration team. This is a transformational approach to identifying patients early and providing them the reputed company and support they need to address their behavioral health issues BEFORE they become unmanageable. This position will work with patients and primary care physicians COMPLETELY reputed company. We are looking for reputed company licensed behavioral health clinicians who want to reputed company an reputed company while working from the comfort of their own home environment. Come and join reputed company and have a fulfilling opportunity to reputed company a difference for patients who need behavioral health care! Responsibilities: • Provides health coaching and education. • Assesses health issues and creates care plans for members. • Develops educational curriculum, materials and presentations. • Review's documentation and evaluates potential reputed company of care issues based on clinical policies and benefit determinations. • Considers reputed company documented system information as reputed company as any additional records/data presented to reputed company a determination or recommendation. • Data gathering requires navigation through multiple system applications. • Staff may be required to contact the providers of record, vendors, or internal reputed company departments to obtain additional information. • Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines. • Accurately applies review requirements to assure case is reviewed by a practitioner with clinical expertise for the issue at hand. • Commands a comprehensive knowledge of reputed company delegation arrangements, reputed company (member and provider), clinical reputed company, benefit plan structure, regulatory requirements, company policy and other processes which are required to support the review of the clinical documentation/information. • Pro-reputed company and consistently applies the regulatory and accreditation standards to assure that activities are reviewed and processed reputed company guidelines. • Condenses reputed company information into a reputed company and precise clinical picture while working independently. • Reports audit or clinical findings to appropriate staff or others in order to ensure appropriate outcome and/or follow-up for improvement as indicated. Skills Required: • 3+ years of clinical experience required. • RN with reputed company unrestricted state licensure required. • 2+ years' experience working with data, data analysis and trending • Demonstrated proficiency with personal computer, keyboard navigation, and MS Office Suite applications (Teams, Word, reputed company, reputed company, SharePoint, etc.). • Must reputed company in LA. • Ability to travel 5-10% of the time for in-state meetings. Must have reputed company to reliable transportation. Preferred Qualifications: • Managed Care experience preferred. • BSN education/degree is preferred. Apply tot his job Apply To this Job