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Truck Mechanics

Wed, 05/06/2015 - 11:00pm
Details: WANTEDTruck Mechanics. Competitive wages Call 859-254-2385 or 1-800-514-2384 Apply in person at Haynes Trucking- 1229 Versailles Rd. Lexington, KY Source - Lexington Herald Leader

CONSTRUCTION - EXP. DRYWALL

Wed, 05/06/2015 - 11:00pm
Details: CONSTRUCTION Exp. Drywall NEED ONLY APPLY. Valid KS DL. Must pass background check & drug test. Apply in person 9a-2p Klein Construction 919 E 53rd St N, Wichita Source - Wichita Eagle

Store Stock Associate

Wed, 05/06/2015 - 11:00pm
Details: Open Positions for Career-Minded People. Raise the bar on customer satisfaction! Are you ready to start your career with a company that offers growth, challenge and a commitment to excellence? Raymour & Flanigan is a leading furniture retailer in the U.S. and is searching for a career minded part time store stock associate that can make a difference to the customer shopping experience. Many of our successful long term associates started at the beginning. Our store warehouse associates interact daily with customers as well as sales and customer care partners to provide excellent service, maintain accurate inventories and showroom appearance. Here is where you can demonstrate your customer service skills and learn the furniture retail business. Apply today for the start of your successful future! Expectations: Loading and unloading of trailers. Loading of furniture and accessories in customer vehicles. Assembly of furniture. Moving and placement of furniture on the showroom floor. Assisting with inventory control and processes. Keeping the warehouse and showroom organized. Accountable for commitment to Raymour and Flanigan's safety procedures and guidelines. Professional communication and interpersonal skills. Attention to detail and ability to prioritize in a fast-paced environment. Possess excellent listening skills and the ability to work independently and with a team. Perform additional functions that may be assigned at the discretion of management. Qualifications: Must have solid computer skills. Must be responsible, dependable and able to perform general backroom duties. High School Diploma or equivalent. Must be available to work days, nights, weekends and some holidays. Physical Requirements: Continuously lift, lower, push, pull all sizes of furniture up to and in excess of 100 lbs. At Raymour & Flanigan, we recognize and appreciate all of our team members' hard work and dedication. We pride ourselves on being a long term, privately held company that takes care of its associates by recognizing each individual's potential and investing in their future success! Raymour & Flanigan provides a full range of comprehensive benefit programs to help you achieve your wellness and financial goals which include: Health Insurance (Up to 80% of premium paid) and Prescription Drug Coverage Dental and Vision Coverage Company paid Life Insurance Company paid Short-term Disability 401(k) Retirement Plan w/ Company Match & Profit Sharing Voluntary Life and Long-term Disability Insurance Flexible Spending Account Employee Assistance Program Other Great Benefits: Weekly Pay Paid Vacation and Holidays Training and Development Tuition Reimbursement Program Generous Merchandise Discount Raymour & Flanigan proudly supports a drug free and smoke free work environment. Raymour & Flanigan is an Equal Employment Opportunity employer that does not discriminate against any associate or applicant on the basis of race, creed, color, religion, sex (including pregnancy), age, national origin, physical or mental disability, sexual orientation, marital or familial status, genetic information or other basis protected by law.

Legal Secretary

Wed, 05/06/2015 - 11:00pm
Details: LEGAL SECRETARY Downtown Family Law. Non-smoker, exc. grammar and punctuation skills. Email Resume to: MJKutner@ kutnerfamilylaw.com Source - Miami Herald

Pipe and Structural Welders

Wed, 05/06/2015 - 11:00pm
Details: UMC Energy Solutions is now hiring experienced pipe and structural welders. Apply in person 3421 N. Sylvania. EOE Skills/Trades Source - Fort Worth Star Telegram

BILINGUAL CUSTOMER SERVICE

Wed, 05/06/2015 - 11:00pm
Details: Donde los compa¤eros de trabajo son como familia y siempre se comparte el ?xito. BILINGUE Especialista de atenci¢n al cliente - 15000OP9 Local Primario: USA-FL-Miami- Miami Globales Reservas Ventas y Atenci¢n al Cliente Orientaci¢n comenzar 05.21.15 (3:30 PM to 12:00 AM) Preferido Bilingüe Shift Disponible: 3:30 PM-12:00 AM (flexible para trabajar los fines de semana) TIENE que estar disponible a trabajar un horario flexible, cualqiera 7 dias de la semana incluyendo fines de semana y dias feriados Previo experiencia en servicio al clientel preferido TIENE QUE APLICAR EN LINEA PARA SER CONSIDERADO ENCONTREMOS EL MUNDO JUNTOS www.marriott.com/careers Marriott International es una empresa comprometida en ofrecer igualdad de oportunidades en la contrataci¢n de personal, as¡ como en apoyar la integraci¢n cultural. Marriott International no discrimina por raz¢n de discapacidad, condici¢n de veterano o ning£n otro motivo protegido por la legislaci¢n local, federal o nacional Source - Miami Herald

COOK I

Wed, 05/06/2015 - 11:00pm
Details: Facility: Presence Covenant Medical Center, Urbana, IL Department: PCMC FOOD & NUTRIT SER Schedule: Registry/PRN/Flex Shift: Rotation Hours: Varied between 5:30 AM and 8 PM. Req Number: 138699 Job Details: High school diploma or equivalent is required Experience is preferred SUMMARY Prepares food for patients, cafeteria, and special functions using standardized recipes and appropriate food temperatures. Prepares food as indicated by par level sheets and in accordance with both Food Services and Health Department standards. Education and/or Experience High school diploma or G.E.D. required. Minimum of two years previous experience in quantity food production preferred. Computer Skills Basic computer knowledge required. Certificates, Licenses, Registrations Illinois Sanitation Certification preferred. Presence Health is the largest health system based in Illinois, created in November 2011 through the merger of Provena Health and Resurrection Health Care. With over 150 locations, from physician offices and convenient outpatient centers to quality hospitals and senior living communities, we’re in communities big and small. Visit presencehealth.org to learn more. EOE of Minorities/Females/Vets/Disability PI90069003

COMMUNITY BENEFIT SPECIALIST

Wed, 05/06/2015 - 11:00pm
Details: Facility: Presence Health - Corporate Office, Chicago, IL Department: MISSION EFFECTIVENESS Schedule: Full-time Shift: Day shift Hours: 8:00 AM to 5:00 PM Req Number: 138935 Job Details: Masters degree is preferred 3-5 years experience is required This position leads the community benefit programming of Presence Health to fulfill the charitable mission and protect the non-profit, tax exempt identity of the system. The Community Benefit Specialist provides leadership in planning, measuring and coordinating community benefit and strategies related to transforming the communities we serve, especially the most vulnerable. Lead the coordination of the Community Benefit Inventory for Social Accountability and the analysis and reporting of identified community needs and existing community initiatives to internal and external sources. Interface with senior leaders, department directors, physicians and community stakeholders to ensure the success of initiatives through collaborative visioning and execution. This position will utilize system resources to research, analyze and trend data to make recommendations for executive leadership to drive community and population health initiatives. The Community Benefit Specialist will interpret data to help identify new opportunities to proactively engage groups through innovative projects and partnerships. Additionally the Community Benefit Specialist will provide leadership, advice, and recommendations on prospective policies and alignment of resources to address issues such as charity care, Emergency Department utilization and coordinated care. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. > Team oriented, self-motivated professional > Ability to: • Identify and communicate the values, philosophy, and culture of the system as they relate to organizational performance and culture of excellence • Communicate in both verbal and written form with a broad cross section of management and support personnel throughout the ministries • Accomplish results through people from many different disciplines with varying degrees of technical experience • Manage multiple projects simultaneously > Excellent organizational and group facilitation skills Education and/or Experience > Bachelor’s degree in community health, public health, social work, health administration or a related field; >Master’s degree in public health or public policy preferred > Five years experience in community health planning and hospital/health system strategic planning in a Community Health or Community Benefit role dealing with issues surrounding underserved populations and communities of diverse cultures. Computer Skills > Knowledge of Microsoft Office Suite > Knowledge of community benefits measurement and tracking software (Lyons CBISA Software) > Knowledge of mapping software > Knowledge of statistics software (SPSS, SAS, etc.) Presence Health is the largest health system based in Illinois, created in November 2011 through the merger of Provena Health and Resurrection Health Care. With over 150 locations, from physician offices and convenient outpatient centers to quality hospitals and senior living communities, we’re in communities big and small. Visit presencehealth.org to learn more. EOE of Minorities/Females/Vets/Disability PI90068995

COUNSELOR

Wed, 05/06/2015 - 11:00pm
Details: Facility : Presence Mercy Medical Center Department : PMMC PSYCH-PHOENIX Schedule : Full-time Shift : 8 hour shifts Hours : 3p-11:30p Location : Aurora, IL Req Number : 137118 Job Details : Under close supervision and according to established procedures, provides clinical services to the mental health and chemically dependent patient in both an inpatient and outpatient setting. Responsible for patient evaluations, treatment, planning, providing individual and group education and therapy. Assists with department planning and goal attainment. Communicates with other staff and mental health professionals. QUALIFICATIONS Education and/or Experience Bachelors or Masters Degree in Social Work, Psychology, Counseling or related field. Six to twelve months previous experience required. Experience working with children, adolescents, adults and their families/significant others in Mental Health or Substance Abuse treatment field. Experience in treatment and discharge planning; developing and conducting educational groups. Knowledge of medical terms. Comfortable working with psychiatric patients: handles hostile, agitated, aggressive, confused behaviors in a non-aggressive, non-punitive manner. Non-judgmental regarding unusual lifestyles. Participates in managing aggressive patients in a respectful manner using non-aggressive techniques. Computer Skills Basic computer skills Certificates, Licenses, Registrations CPR Certification within 30 days of hire. EOE of Minorities/Females/Vets/Disability PI90069023

Recycle Center Driver

Wed, 05/06/2015 - 11:00pm
Details: None CDL License Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

Dispatcher

Wed, 05/06/2015 - 11:00pm
Details: SUMMARY OF POSITION: The purpose of the Disptacher position is to communicate with Waste Pro drivers to respond to incoming service orders, schedule service, resolve route and service issues and complete daily routing dump and crew data entry. Distribute information to driver teams as needed. ESSENTIAL JOB FUNCTIONS: 1. Maintain contact between drivers and home base, dispatching drivers to calls as they are received, using information on customer needs, drivers' locations and loads, and daily factors to balance cost and speed of response. 2. Assign routes and service tickets to appropriate drivers throughout the day and for the next day; closes service tickets each day. 3. Plan, distribute, monitor and follow-up daily route assignments for residential, roll-off and commercial drivers to ensure customers are serviced per Waste Pro standards and agreements. 4. Troubleshoots and resolves potential delivery and pick-up problems before they result in service issues. Effectively communicate with both drivers and customers to ensure customer satisfaction. Communicate service changes to Sales staff. 5. Answer incoming calls from Customer Service and provide requested route information and/or follow up. Work directly with Customer Service Manager, Operations Manager and the Driver to ensure prompt follow through of all issues. Distribute county requests to route supervisors. 6. Communicates with maintenance shop personnel and serves as an emergency point of contact to drivers. 7. Review route paperwork, enter customer information to database, and close work orders from previous day routes, paying close attention to detail, identifying and correcting any issues. Records and documents information from drivers and distributes to appropriate departments. 8. Maintains all data in appropriate systems including the following: Verify all dump tickets have been received and entered into Tower. Close tickets and note in Trackese. Enter new drivers, truck and route data information in Tower. Enter "Crew Out" into Tower and provide to Supervisors. 9. Print, review and make data entry corrections to productivity reports for route supervisors daily. 10. Distribute and maintain driver phones/radios -- including completion of software updates, and charging phones every evening. 11. Additional responsibilities may include uniform tracking, timecard review for Drivers, reconciliation of supervisor fuel tickets, and maintenance of PPE inventory. Ensures that supplies are on hand for necessary forms. Prepares Saturday work. OTHER JOB RESPONSIBILITIES: * Employees in this job classification must attend and participate in corporation sponsored training courses as assigned. * Employees in this job classification are responsible for keeping up to date on current technology, as job appropriate, being used by Waste Pro USA. * Any additional job duties that may be assigned by the Supervisor.

Diesel Mechanic

Wed, 05/06/2015 - 11:00pm
Details: SUMMARY OF POSITION: The Waste Pro mechanic performs preventative maintenance, run inspections, diagnostics tests, and repairs a variety of vehicles and equipment. ESSENTIAL JOB FUNCTIONS: 1. Diagnoses mechanical problems and performs repairs and maintenance on all equipment to maximize safe and productive operations. 2. Reviews and completes repairs identified on DVIR (Driver Vehicle Inspection Report) and/or repair orders. 3. Communicates with managers and drivers on issues with vehicles and determines preventative techniques to minimize future repairs. 4. Completes all required paperwork in a timely and concise manner. 5. Follows all safety policies and procedures 6. Maintains a clean, safe work area in compliance with corporate and OSHA standards. 7. Utilizes vehicle computer electronics systems to interpret failure modes to initiate or assign repairs. 8. Conducts safety checks on vehicles and equipment. OTHER JOB RESPONSIBILITIES: * Employees in this job classification must attend and participate in corporation sponsored training courses as assigned. * Employees in this job classification are responsible for keeping up to date on current technology, as job appropriate, being used by Waste Pro USA. * Any additional job duties that may be assigned by the Supervisor.

Recruiting Coordinator - Denver, CO

Wed, 05/06/2015 - 11:00pm
Details: The Recruiting Coordinator will aid the recruiting team in the high volume hiring season. This individual must have strong communication abilities, experience with computers, a solid work ethic, and a positive attitude in order to field any and all tasks which they will be assigned. Primary Responsibilities: Qualify candidate applications in Kronos Applicant Tracking System Schedule interviews Prepare appropriate documentation and process necessary paperwork including but not limited to: Applicant interview packets New-Hire documents Assist with on-site drug testing procedures Provide information and direction to applicants Attend meetings as necessary Handle/assist internal hires

Front Office Patient Care Coordinator - Los Alamitos, CA

Wed, 05/06/2015 - 11:00pm
Details: At Optum, we share what might be seen as a surprisingly simple goal: making the health system work better for everyone. We look for people who relentlessly push themselves to go farther. For these high performers, a position on a team at Optum, a business of UnitedHealth Group, is a natural fit. We offer more than the talent, resources and can-do culture-we offer a place to improve the lives of others while doing your life's best work.(sm) Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) Start your healthcare career with Optum! Great entry level position in healthcare! In this position you will interact with patients and their family members, healthcare providers, insurance companies. Learn from healthcare experts as you work side by side to improve the lives of patients. Enjoy profound job satisfaction as you impact the care and comfort of our patient population. We offer the benefits of working for a large, multi-national company - career opportunities, great benefits, paid time off, and more! The successful candidate will demonstrate effective customer service and communication skills. Primary Responsibilities: Greets patients as they arrive Coordinates patient flow Assists patient with intake or admitting processes including copying required documents Collects co-payments, co-insurance and deductibles and issues receipts Collects, records and balances payments Manages cashier box and daily deposits according to company policies Processes walk-in patients and visitors Answers phones and schedules appointments Manages medical records (maintains, files/scans, prepares for schedule)

Senior Appeals Representative - Oldsmar, FL

Wed, 05/06/2015 - 11:00pm
Details: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work . UnitedHealth Group is working to create the health care system of tomorrow and you can help. Already Fortune 17, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed. Join with us and start doing your life's best work . Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances. Communicates with appropriate parties regarding appeals and grievance issues, implications and decisions. Analyzes and identifies trends for all appeals and grievances. May research and resolve written Department of Insurance complaints and complex or multi-issue provider complaints submitted by consumers and physicians/providers. Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances. Analyze and identify trends and provides reports as necessary Consistently meet established productivity, schedule adherence, and quality standards Provide excellent customer service Extensive work experience within own function. Work is frequently completed without established procedures. Works independently. May act as a resource for others. May coordinate others activities.

Utilization Management Nurse, RN - West Valley City, UT

Wed, 05/06/2015 - 11:00pm
Details: Optum Medical Network is a network of health care providers in the Southwest, whose mission is to connect and support providers by working together to deliver the most effective and compassionate care to each and every patient they serve. Optum Medical Network's focus is to do the right things for patients, physicians, and the community. Optum Medical Network's Core Business is contracting directly with health insurers to deliver a highly personal care management and service model to their patients. The current focus of Optum Medical Network is on seniors, and those with complex care needs, who most benefit from a high touch model of care. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready for a new path? Join us and start doing your life's best work.(sm) What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Want to learn more before applying for this role? Click here to view the Realistic Job Preview: http://uhg.hr/Telephonic_UM_Nurse Not a telecommute position - 40 hours per week. Primary Responsibilities: Perform utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care management) Determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination Assess and interpret customer needs and requirements Identify solutions to non-standard requests and problems Work with minimal guidance; seeks guidance on only the most complex tasks Translate concepts into practice Provide explanations and information to others on difficult issues Coach, provide feedback, and guide others Act as a resource for others with less experience Utilization Review / Concurrent review experience preferred Bilingual (Spanish) desirable

Senior Implementation Manager - OptumRx - Telecommute

Wed, 05/06/2015 - 11:00pm
Details: Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm) Primary Responsibilities: Coordinate with OptumRx operations and IT teams to manage and prioritize customer needs and implement pharmacy benefit solutions Develop and maintain strong inter-company relationships to ensure superior customer service that is executed accurately and on time Review plans for accuracy, presenting benefit detail in a customer meeting with the Optum Rx Client Management and arranging for customer sign-off Coordinate file transfers (ORTF, Prior Authorizations, Claims History Files, and Accumulation totals) Create and conduct internal OptumRx training for new customers (PA, Customer Service, Specialty Pharmacy) Coordinate efforts with internal departments for the creation of customer specific PDL and/or pharmacy networks Coordinate formulary/specialty disruption analysis Work with Health Plan and Functional leaders to proactively identify implementation issues and drive their resolution Manage pre-implementation audits Develop and present presentations for new business customer implementations Facilitate meetings at various levels of the organization Monitor, track and report implementation status and performance Manage implementation scope changes and resolution Identify implementation risks, implement a mitigation/action plan and drive improved outcomes, communicate to senior leadership Manage the implementation of pharmacy benefit plans for National, Key and Public Sector Customers Review the work of others Develop innovative approaches Be sought out as expert Serve as a leader/mentor Travel 20-25% of the time

Associate Medical Cost Analyst - Miami, FL

Wed, 05/06/2015 - 11:00pm
Details: Position Description: Why work for the leading organization in health care to help improve the lives of millions? You'll find that this is no small opportunity on our Health Care Economics team. There are new challenges and bigger rewards around every turn. Now is the time, and this the place where you'll find a career in which you can make a big difference ?in our company, our industry, even our world. As the Health Care Economics Analyst, you will design and develop reports and analyze data to measure clinical outcomes, network performance and methodology levers. You will investigate key business problems through quantitative analyses of utilization and health care costs data. Along with your team, you will identify potential areas for medical cost improvements and alternative pricing strategies. You will help heal the health care system as you work with an elite team to solve tough challenges. Join us. And start doing your life's best work .(SM) Primary Responsibilities: Performs in-depth medical cost and financial time series andcross sectional trend analysis. Write SQL code and analyze in-depth trends such as acute andnon-acute admits / 1,000, days /1,000, ALOS for root causes and makerecommendations. Must be able to fully audit revenue, capitation payments,claims detail payments, and identify claims overpayments. Must be able to audit risk providers contracts loading andpayments for CPT/Revenue/ HCPC codes, Diagnoses, DRGs. Must be familiar with various reimbursement methods:Capitation, FFS, DRG, APC, Global risk, episode of care. Must be familiar with pharmacy, Hedis, Stars, Medicare Riskscores, and its effects on future revenue. Develop new reports using SSRS, SQL, MS Access, Excel,and / or Crystal Reports, BusinessObjects, and VBA. Develop ad-hoc analyses based on complex user requirementsfor CEO, COO, Finance VP, Medical Director, Network Management and UtilizationManagement Dept. Be able to explain variances of actual costs and otherstatistical measures to budget/forecasts from an actuarial cost volume model,from financials, and from external sources to Managers, Actuaries, andaccounting CPA's. Perform financial and medical cost trend analysis forcapitation and global risk provider contracts, accountable care organizations,episode of care reimbursements and other risk contracting providers. Responsible for preparation and distribution of variousreports to Manager and various departments on recurring basis. Performs other finance duties as required or asrequested by the Director of Finance and/or Manager of Analysis.

Associate Director, CDI Consulting - Telecommute

Wed, 05/06/2015 - 11:00pm
Details: No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) Optum, an industry leader in healthcare implementation and consulting services, is adding additional leadership talent to our CDI Consulting team. Ideal candidates will have prior CDI consulting experience leading large scale projects in the acute care setting and conducting gap analysis. This is a full time position that would allow employees to see career growth while taking on challenging engagements around the United States. This is a home-based position with approximately 50% travel. Primary Responsibilities: Development and ongoing refinement of CDI assessment and implementation methodology and approach, including: development of deliverable templates, workflows, training manuals/content; integration with technology Solution development and sales support of CDI through proposal development, responding to RFPs, development and delivery of client presentations Serve as the liaison between CDI consulting services and CDI technology team Engagement management and overall quality assurance Participate in industry events and speaking engagements to promote CDI expertise and capabilities Assist with recruiting activities for CDI project team

Psychologist Peer Reviewer - Latham, NY

Wed, 05/06/2015 - 11:00pm
Details: New York HARP Program! Licensed Psychologist! For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) This position will be onsite in our Latham, NY office. Monday – Friday, business hours. The anticipated start date for this position will be May 18th, 2015. As the chosen candidate, you will be assisting people with maintaining their maximum independence in the community, self-sufficiency and understanding of the appropriate use of Home and Community Based Services (HCBS). Responsibilities of the Peer Reviewer will include: Reviewing provider requests for psychological testing Conducting peer-to-peer reviews with psychologists and other behavioral health providers to assure that accreditation standards, level-of-care guidelines and generally accepted clinical practices are followed Conducting clinical reviews of contracted provider clinical records as requested Participating in Quality assurance activities and audits as needed Providing care management for inpatient and outpatient psychiatric and substance abuse cases through telephonic reviews Completing call monitoring and documentation audits to determine compliance with clinical guidelines, policies and procedures, and operational workflows Entering certifications and documentation into the care management systems in a timely manner Meeting internal and external business requirements for specific books of business, including turnaround times, peer-to-peers, and authorization decisions Assisting the clinical management team with clinical consultation, staff training and case conferences Providing consultation to Optum management and staff regarding such issues as clinical standards, policies, procedures, recovery and resiliency and best practices Performing other duties as requested by supervisor

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