For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. We don't just have a mission statement...we have a mission. At Bearden Behavioral Health, our commitment to optimal mental health

Perform telephonic care management consultations with members, promoting high quality, evidence based practice recommendations Ensure member has scheduled appointment with Primary Care Provider (PCP)/specialty provider; help scheduling appointment, if needed Refer members to internal departments such as Social Work or Pharmacy, when appropriate Gather clinical information

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. As a Licensed Autism Care Advocate, you will work directly with providers to review medical necessity for Applied Behavior Analysis (

Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to m

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Ambulatory Same Day Surgery services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) codes A

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Travel to provide skilled nursing care for infusion patients in their home and infusion suite Teach patients and their care givers to achieve the highest level of independence possible in self care and monitoring of their infusion therapy Assess the patients' condition and response to therapy, taking action as needed to facilitate achievement of treatment goals Collaborat

Conduct solution focused consultations; helping clients define goals, plan action and gain insight Assess and refer to appropriate programs and services including but not limited to Worklife, behavioral health, substance abuse / chemical dependency and community based resources Assist with referrals for members needing ongoing/additional counseling services Provide limite

Distributes drugs prescribed by physicians and other health practitioners Provides information to customers about medications and their use Focuses on providing a superior level of customer service Ensures compliance with all relevant laws of the applicable State Board of Pharmacy Administration of immunizations as allowed by State Boards of Pharmacy Any other usual and c

Leads new client onboarding and transformation by utilizing a diverse group of resources (people and technology) to integrate new clients into the standard OGOM Leads the PMO/PM discipline for technology implementations related to HB Coding Establish the standard HB Coding methodology to measure productivity, efficiency, scalability, human touch volume, and workflow Leads

Support the full data engineering lifecycle including research, proof of concepts, design, development, testing, deployment, and maintenance of data management solutions Utilize knowledge of various data management technologies to drive data engineering projects Lead data acquisition efforts to gather data from various structured or semi structured source systems of recor

Review comprehensive diagnostic evaluations to ensure valid diagnosis has been given Obtain clinical information from providers on Applied Behavior Analysis requests for treatment Determine if additional clinical treatment sessions for Applied Behavior Analysis are medically necessary in accordance with appropriate level of care guidelines Manage outpatient cases througho

Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing Understands and complies with long term care policies and procedures, including those that regulate nursing facilities and assisted living communities Establishes and maintains effective relationships with members and their legal representatives, faci

Develop and coordinate a clinical treatment program for the diagnosis, treatment, or referral of patients presenting moderate to severe social or mental behavior problems Involves patient and/or family in treatment planning as appropriate Conducts individual, family or group therapy sessions based on ethical and medical necessity guidelines. Option to develop and provide