Emporia, Kansas. Part-Time. Hybrid. PRN. 3029. Job Description. Company Overview. Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company. to actively engage in problem-solving. and to take...
Scottsbluff, Nebraska. Part-Time. Hybrid. PRN. 3027. Job Description. Company Overview. Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company. to actively engage in problem-solving. and t...
Utilizes MSW education and experience to perform telephonic and onsite assessments of medically complex pediatric recipients in the PDN coordinate the care program. As part of the multidisciplinary team, regularly meets with the team and contributes to the development of a comprehensive plan of case based on the needs of the patient and family. Utilizes independent judgement to evaluate and modify the plan of care as needed. Regularly communicate...
Provides courteous and prompt service to all internal and external customers. Research provider questions regarding status of reviews/authorizations. Prioritizes and addresses requests in a professional manner to develop cooperative relationships and to ensure that customer confidentiality is assured. Understands when to escalate a call to a supervisor. Enters all call data for tracking. Initiates outbound calls as necessary to facilities and pro...
Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based on contract requirements). Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent, Conc...
