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Highmark Health
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Little Rock, Arkansas
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responsible for the overall clinical support of account and sales specific activities within the Clinical Services division. The incumbent works with leaders in clinical services and sales/account management as a
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Highmark Health
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Little Rock, Arkansas
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Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc
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Highmark Health
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Little Rock, Arkansas
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. Responsible to efficiently coordinate the clinical review process with contracted external review companies in accordance with all regulatory guidelines. This includes:
• the submission and receipt of clinical
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Highmark Health
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Little Rock, Arkansas
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Company :
Highmark Health
Job Description :
JOB SUMMARY
Direct all p
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Highmark Health
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Little Rock, Arkansas
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clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical
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Highmark Health
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Little Rock, Arkansas
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clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical
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Highmark Health
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Little Rock, Arkansas
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management for our community-based palliative care program. In addition, this role will provide clinical ... projects and engagement with process improvement. The role includes recognizing clinical gaps and
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Highmark Health
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Little Rock, Arkansas
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accordance with the highest and most current clinical standards. The incumbent reviews escalated cases ... /Management or Public Health
EXPERIENCE
Required
5 years in Clinical, Direct
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Highmark Health
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Little Rock, Arkansas
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clinical and motivational interviewing skills to assess behavioral health, physical health, and social ... conditions to provide comprehensive case management interventions.
Conduct telephonic clinical and
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Highmark Health
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Little Rock, Arkansas
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then creates the case (data entry) in Highmark's utilization management system for clinical review
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Highmark Health
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Little Rock, Arkansas
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footprint. Designs, implements and executes strategies and works with cross-functional clinical ... interventions to improve the clinical STARS measures. Lead/participate in both departmental and
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Highmark Health
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Little Rock, Arkansas
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, and then creates the case (data entry) in Highmark's utilization management system for clinical review
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Highmark Health
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Little Rock, Arkansas
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accordance with the highest and most current clinical standards. The incumbent reviews escalated cases ... /Management or Public Health
EXPERIENCE
Required
5 years in Clinical, Direct
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Highmark Health
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Little Rock, Arkansas
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Company :
Allegheny Health Network
Job Description :
GENERAL OVERVIEW:
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Highmark Health
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Little Rock, Arkansas
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the home setting.
Implements current nursing practices.
Patients’ clinical assessments are ... standing with the State Board of Nursing in state of practice.
1 year acute care/IV experience
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