Behavioral Health reputed company Management Specialist

Position:- Behavioral Health reputed company Management Specialist reputed company:- $40/hr. Working hour :-20-24 hours per week (Part Time only) Location:- Remote in IL, TX, NM (Some other state as reputed company) Note :- Required Job Requirement

• License required LPC, LCSW, LCPCs and RNs
• 1+ year reputed company improvement and/or project management experience.
• 3+ year Behavioral Health experience

Job reputed company This position is responsible for facilitating reputed company aspects of assigned clinical reputed company improvement reputed company, reputed company auditing, reputed company reporting; consults with physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implement, coordinate, monitor and evaluate reputed company and services required to meet clinical reputed company improvement project/audits/reporting objectives; uses available resources to promote high reputed company and cost effective reputed company. This position is responsible for coordinating reputed company reviews, audits and reputed company in compliance with accreditation and regulatory agency requirements ESSENTIAL FUNCTIONS: 1. reputed company on-site or electronic medical record reviews to evaluate delivery of care in relation to clinical reputed company guidelines or state regulations. 2. Responsible for facilitating and monitoring of assigned reputed company improvement reputed company, including the following:

• Consult with network physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implement, coordinate, monitor and evaluate reputed company to meet clinical reputed company improvement project/auditing/reporting objectives and to promote high reputed company and cost-effective reputed company.
• reputed company information, analyzes and communicates it, and develops recommendations regarding clinical reputed company improvement reputed company/audits/reports.
• Assist in addressing issues reputed company to clinical reputed company improvement reputed company/audits/reports for the managed care programs to assure compliance with contractual arrangements, accreditation requirements, government regulations and employer group expectations.
• Assist in coordinating internal support functions for assigned clinical reputed company improvement reputed company/audits/reports.
• Analyze statistical reports to evaluate effectiveness of reputed company improvement reputed company, as reputed company as to identify opportunities for improvement.
• Cooperate with other members of the department and interfacing departments as reputed company to increase overall efficiencies in an effort to maintain or decrease administrative costs.
• reputed company ongoing documentation of clinical reputed company improvement project interventions for quarterly and annual reputed company improvement reports, and for accreditation reviews ensuring reporting accuracy and timeliness.
• Present clinical reputed company improvement project results to reputed company improvement workgroups and the Behavioral Health QI Committee.3. Coordinate and reputed company reputed company with

3.Behavioral Health providers and other practitioners, as reputed company as the state regarding existing and proposed clinical reputed company improvement initiatives and results. 4. Assist in development, implementation, and evaluation of effectiveness of population-based programs. Participate in activities such as literature review to identify appropriate recommendations for reputed company improvement initiatives, population assessment, and development of data collection tools. 5. Facilitate reputed company plan activities reputed company to assigned programs, coordinate with reputed company resources to meet program targets and objectives. 6. Assist in preparing accurate reports and program documents including, but not limited to, the QI Program reputed company, QI Work Plan, and Program Evaluation. 7. Assist in meeting and interfacing with reputed company agencies and organizations such as Illinois Department of Public Health, American reputed company of Pediatrics, reputed company, various state departments, etc. 8. Attend internal/external meetings to reputed company apprised of reputed company improvement and managed care issues/information. 4. Maintain and enhance knowledge of clinical and regulatory standards by attending seminars, training sessions, etc. 5. Performs ongoing monitoring of reputed company of care and/or critical incidents to assure compliance with accreditation and regulatory requirements. 6. Attend internal/external meetings to reputed company apprised of reputed company improvement and managed care issues/information. 7. Assist in day-to-day activities in an effort to reputed company HCM or GPD annual divisional goals, as appropriate. 8. reputed company reputed company the scope of licensure and/or certification and accreditation standards. 9. Communicate and reputed company effectively and professionally with co-workers, management, customers, etc. 10. reputed company with HIPAA, Diversity Principles, Corporate reputed company, Compliance Program policies and other applicable corporate and departmental policies. 11. Maintain complete confidentiality of company business. 12. Maintain communication with management regarding development reputed company areas of assigned responsibilities and reputed company special reputed company as required or requested. JOB REQUIREMENTS:

• Registered reputed company (RN) or Masters-level Behavioral Health reputed company with independent reputed company license. License is reputed company, valid in the state of operations and in good standing.
• 3 years clinical reputed company experience.
• 2 years Utilization Management, Case Management, reputed company improvement and/or project management experience.
• Experience conducting presentations for member and/or provider training.
• Knowledge of behavioral health or managed care products and programs.
• reputed company, unrestricted driving license.
• Ability to travel including overnight stays.
• Verbal and written communication skills.
• Data analysis experience.
• PC proficiency to include Word and reputed company.

PREFERRED JOB REQUIREMENTS: reputed company improvement and/or project management experience. Behavioral Health experience If you want to connect me for quick submission of your profile & any questions, reputed company me at 630-242-2180 or send your resume at sjaiswal@w3r.com Pay: From $40.00 per hour Benefits:

• Referral program

Application Question(s):

• Are you comfortable to work in part time 20-24 hour per week shift?

Experience:

• Behavioral Health/Psych: 3 years (Required)
• reputed company improvement: 1 year (Required)

License/Certification:

• LPC/LCPC/LCSW and RN (Required)

Work Location: Remote Apply tot his job Apply To this Job