PM Pediatric Care

Therapist

• Perform psychosocial assessments that comply with evidence based practices
• Providing counseling and therapy for patients using evidence based treatment modalities
• Display competency as an individual, family, and group therapist
• Maintain own professional development as required by licensing board
• Complete required documentation and paperwork, including biopsychosocial assessments and treatment planning and implementation in a timely manner
• Works closely with patient and family and team to overcome obstacles in treatment
• Maintain compliance with all company policies and procedures
• Demonstrates cultural competency and commitment
• Respond quickly to an urgent or emergent need
• Maintain a caseload of 30-35 patients weekly and a minimum of 5 patients daily

Bilingual Behavioral Health Therapist, LCSW, LSMW

• Perform psychosocial assessments that comply with evidence based practices
• Providing counseling and therapy for patients using evidence based treatment modalities
• Display competency as an individual, family, and group therapist
• Maintain own professional development as required by licensing board
• Complete required documentation and paperwork, including biopsychosocial assessments and treatment planning and implementation in a timely manner
• Works closely with patient and family and team to overcome obstacles in treatment
• Maintain compliance with all company policies and procedures
• Demonstrates cultural competency and commitment
• Respond quickly to an urgent or emergent need
• Maintain a caseload of 15-20 patients weekly and a minimum of 5 patients daily

Behavioral Health Therapist

Bilingual

• Greets families professionally both in person and on the phone.
• Answers patient/family questions to the best of his or her ability and/or seeks clarification and instruction when needed
• Accesses empathy and active listening in difficult interpersonal situations
• Supports patient care quality initiatives as directed
• Coordinates escalations and urgent issues to ensure timely and complete resolutions
• Collaborates and communicates with site leadership to facilitate management of complex patient issues
• Employs PM Pediatric Care’s Core values to help patients, families, and other team members navigate PM systems before, during, and after a visit
• Monitors and manages patient flow throughout the waiting and registration process including assisting families with initiating the self-registration process
• Is in alignment with all distributed education to keep current on workflows, responsibilities, and technology
• Registers all patients and maintains accurate and complete patient accounts by obtaining, recording, and updating demographics, insurance, and financial information while maintaining HIPAA compliance
• Manages and acts upon all incoming patient documents, mail and correspondence utilizing proper documentation and storage
• Maintains confidentiality and privacy of all patient accounts and adheres to all HIPAA guidelines
• Performs opening and closing duties including but not limited to organizing, stocking, sanitizing, and reconciling
• Executes other duties as assigned

Bilingual Spanish, Front Desk Associate

Manager

• Ensure provider staff is credentialed and enrolled with payers to ensure sufficient clinical coverage and minimal claims reimbursement denials
• Develop and implement policies and procedures for the credentialing and recredentialing process
• Manage the primary source verification of education, training, board certification, work history, and licensure of healthcare providers
• Maintain CMS NPPES reporting
• Support internal credentialing committee in evaluation of newly hired staff
• Facilitate the resolution of discrepancies or concerns regarding applicants’ credentials
• Maintain accurate and confidential credentialing databases and files
• Communicate accurate enrollment and credentialing status throughout the organization
• Assist the accounts receivable department with credentialing related payer denials
• Coordinate with counsel and compliance on malpractice and related insurance coverage
• Serve as the lead expert on all state-specific bylaws

Provider Credentialing & Enrollment Manager

• Provide in-person orientation for new providers, including culture, quality, and office workflow.
• Ensure timely completion of Provider Training Program, which includes running provider assessments, Bootcamps, skills workshops, lectures, and RESCUE training.
• Engage early and often with low performing providers to improve their clinical performance and engage all providers in ongoing education, including introducing new clinical guidelines, in collaboration with Clinical Excellence Team.
• Support ROD in completing and adjusting provider schedule to match training needs and provider productivity.
• Collaborate with regional team in securing backup coverage for last minute callouts to prevent office closures.
• Respond to patient complaints that are medically related and escalated from the provider who rendered care or calls that are urgent in nature.
• Review safety reports, investigate root causes, implement corrective actions, and close loop with central teams.
• Provide feedback to the providers as warranted.
• Ensures appropriate provider documentation, collaborates with Clinical Excellence Team on chart review process; monitors and coaches providers on use of templates, proper coding, and resource utilization.
• Review candidate qualifications, conduct on-site interview, arrange shadowing shifts for candidates, and make timely hiring recommendations to Operations Manager and Regional Operations Director.
• Circulate among provider staff at all assigned offices on weekly or bi-weekly basis.
• Respond to medical escalation consults and/or develop system for peer-to-peer consult.
• Conduct pNPS review monthly and, in collaboration with Operations Manager, work with bottom providers on action plan and progress.
• Recommend to Clinical Excellence Team and Operations Manager any providers in need of Performance Improvement Plans (PIP). Provide training and mentorship related to PIP.

Regional Clinical Manager – Pediatric Urgent Care

• Perform psychosocial assessments that comply with evidence based practices
• Providing counseling and therapy for patients using evidence based treatment modalities
• Display competency as an individual, family, and group therapist
• Complete required documentation and paperwork, including biopsychosocial assessments and treatment planning and implementation in a timely manner
• Works closely with patient and family and team to overcome obstacles in treatment
• Maintain a caseload of 15-20 patients weekly and a minimum of 5 patients daily

Bilingual Behavioral Health Therapist, LCSW, LSMW

Behavioral Health Therapist

Bilingual Spanish, Front Desk Associate

Provider Credentialing & Enrollment Manager

Regional Clinical Manager – Pediatric Urgent Care

Behavioral Health Therapist – Part-Time