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COMPUTER SKILLS |
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Job-Related Computer Knowledge |
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Interqual - McKesson Sofwtare Familiarity |
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EXPERIENCE |
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Concurrent Review |
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Utilization Review |
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Prior Authorization |
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Disease Focused Case Management |
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Catastrophic Case Management |
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Home Health |
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Work Comp |
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SPECIFIC SKILLS |
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Knowledge of Community Health Care and Vocational Services |
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Ability to properly maintain records |
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Knowledge of medical billing procedures |
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Strong interpersonal and communication skills and the ability to work effectively in all situations |
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Ability to monitor, assess and record client progress against care plan and make adjustments accordingly |
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Ability to assess mental status in clients and to devlop individual treatment goals and plans |
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Ability to plan, implement and evaluate individual patient care programs |
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Ability to gather data, compile information and prepare reports |
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Ensure outcomes are met within an appropriate length of stay |
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Coordinate and monitors services including comprehensive tracking of client activities in relation to the care plan |
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Assist clients in developing goals and areas of need and assists in developing treatment plans which are assessed regularly |
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Conduct medication and mental status assessment and determines required level and frequency of service |
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Document all client encounters and contracts made on behalf of clients |
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Complete and submit billing documentation as appropriate |
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Maintain comprehensive client files, which may include documents held for safekeeping on behalf of the client |
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Assess patients, evaluate effectiveness of care plan and progress made by client |
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Participate in patient treatment planning and case review with patient care providers |
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Ability to develop and implement action plans for health centers to improve performance |
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SUPPLEMENTAL | |||
Infant (Birth to 1 Year) |
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Toddler (1-3 Years) |
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PreSchool (3-6 Years) |
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School Age (6-12 Years) |
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Adolescent (12-18 Years) |
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Young Adult (18-30 Years) |
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Mature Adult (30-60 Years) |
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Elderly (>60 Years) |
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