Clinician

• Conduct intake interviews and assess client.
• Prepare goal-oriented psychosocial diagnostic assessments, service plans and progress reports.
• Provide case consultations, one-to-one counseling for clients, and/or crisis intervention.
• Maintain therapeutic services within National EMR and funding source guidelines.
• Develop and implement client tracking and status reports for monthly review/audit of clinical department.
• Provide data to support staff on admission/discharge of clients for them to maintain the permanent National EMR Census.
• Monitor and assist caseworkers and case aides in client supervision and milieu activities.
• Participate in or facilitate primary therapeutic/psycho educational groups or activities.
• Interview and complete preliminary service plan for each assigned client within 72 business hours.
• Participate in weekly scheduled case staffing with the treatment team to review clients' progress and compliance.
• Review client files to ensure proper documentation of therapeutic plan/services.
• Obtain and maintain working knowledge of State Licensing Standards and funding source guidelines.
• Attend and participate in twenty (20) hours of continuing education a year to maintain certifications dependent on current licensure.
• Other duties as assigned.

PRN Mental Health Clinician supporting emergency response teams and clients

Mental Health Clinician

PRN Mental Health Clinician supporting mental health needs of clients in emergency situations. Conducting assessments, providing counseling, and tracking client progress as part of an all-hazards response team.

• Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards
• Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal
• Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards
• Communicates with members, providers, facilities, and other departments regarding appeals requests
• Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards
• Works with leadership to increase consistency, efficiency, and appropriateness of responses of all appeals requests
• Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices
• Performs other duties as assigned
• Complies with all policies and standards

Clinical Review Clinician in Medical Management reviewing appeals for health services

Clinical Review Clinician – Appeals

Clinical Review Clinician managing medical necessity reviews in the appeals process for a national health services organization. Work includes collaborating with medical directors and ensuring compliance with healthcare standards.

• Deliver quality orthotics, prosthetics, and professional services in relation to patient care.
• Formulate design of prosthetic and/or orthotic devices.
• Provide complete and accurate direction and guidance to technicians responsible for fabrication of orthoses and/or prosthesis for patients.
• Fabricate as needed to assure, quality, fit function, timely delivery, or responsiveness to individual patient need.
• Perform fitting, including static and dynamic alignments.
• Evaluate prosthetic/orthotic device on patient, adjust to assure fit, function, medical efficacy, and quality of work and perform outcome measures as appropriate.
• Instruct patient in use of device.
• Provide post-delivery service and adjustments for assigned patients.
• Specify information to administrative staff to conduct reimbursement activities.
• Maintain all patient charts and records of care and service, current and complete each day.
• Train Technicians, Residents, Fitters, and other Clinicians, as appropriate.
• Develop a referral and client base that will profitably contribute to the practice's capabilities to better serve patients, referral sources and employees.
• Market the organization's professional services, through the development of strong professional relationships with physicians, therapists, patients, and other referral sources.
• Achieve and maintain professional knowledge and technical skills required to perform all other primary responsibilities.
• Identify and create improvements to processes to promote efficiency and productivity.
• Adhere to all safety regulations; compliance with Medicare and other governmental regulations; compliance with bloodborne and Occupational Safety and Health Administration (OSHA) requirements.
• Comply with Corporate Compliance and HIPAA responsibilities.
• Perform other duties and special projects as assigned.
• Work on-call rotation as assigned by Supervisor. Will support other clinics as needed.

CPO delivering quality orthotics and prosthetics at Ottobock Care

CPO responsible for delivering quality orthotics and prosthetics at the Mesa, AZ clinic. Role involves patient care, device design, and training clinical staff while maintaining compliance standards.

Clinician jobs in Arizona

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Mental Health Clinician

Clinical Review Clinician – Appeals

Clinician