on eligibility criteria the appropriate services according to members’ needs and benefits under the health plan. The goal of the... clinical data (scripts) and Triage Logic platform to logs the health care services, coordinate appointments, make the...
, and explaining the mental health services available. Refer and analyze with the psychiatrist special situations that require medical.... Validate the registration process of the admissions to mental health services. Enter the inpatient admission registration...
, and explaining the mental health services available. Refer and analyze with the psychiatrist special situations that require medical.... Validate the registration process of the admissions to mental health services. Enter the inpatient admission registration...
. Coordinate ambulatory services with mental health providers, partial hospitalization programs, intensive outpatient programs (IOP...Job Description: Responsibilities Review the behavioral health inpatient census daily to identify new admissions...
: * Documentation and assembly of all information related to the terms, services, and benefits to be implemented in the information... that all departments understand the services contracted for each account implemented. Keep all documentation of active contracts up...
review. URC may approve requests for admissions, procedures, and services that meet clinical review criteria, but must refer.... Responsible for making sure that the peer-to-peer discussion takes place. Issues the services authorizations after the review...