Summary. The primary responsibility of the Care Manager is to ensure implementation of a comprehensive care plan, which will include mental, physical and other health goals, and other life domain goals to achieve a clinical outcome consistent with the needs and preferences of the client. Care Managers interact regularly with other staff, including the Health Team, and treatment providers to assess and treat individuals with mental, emotional, or ...
Summary. The Family Support Provider will emphasize the use of informal, natural community supports as a primary strategy to assist health home enrollees and families. Family Support Providers interact regularly with other staff, including the Health Team, and treatment providers to assess and treat individuals with mental, emotional, or substance abuse problems, including abuse of alcohol tobacco, and/or other drugs. Activities may include crisi...
Summary. Researches insurance claim denials, determines the validity of the claim and when appropriate is responsible for adjusting and resubmitting the claims via multiple methods. Essential Functions. Researches denial of claims, evaluates and rebills as necessary in an effort to ensure the maximum accurate payment and reduce the number of A/R days. Communicates with Business Office or clinical staff regarding coverage and denials, if appropria...
