outreach clinician

New River Valley Community Services

<div><p>Court Based Treatment and Diversion is seeking a Clinician! The Clinician provides clinical, assessment, treatment planning and consultation services for individuals with mental illness, including those with co-occurring substance use and/or developmental disabilities. Works on site at the General District Court to assist the Court by providing assessment at or prior to the time of arraignment and treatment recommendations. Develops and maintains working relationships with individuals served, families and/or caregivers, other NRVCS programs, and other community agencies and resources as needed to ensure quality services. Provides all services with the intention of helping divert individuals to appropriate community treatment.<br>
</p><p></p><p><b>Starting Salary: $50,400-Depending on Experience<br>
</b></p><p></p><p><b>Education/Experience Required:
</b></p><ul><li><p>Master&rsquo;s degree in social work, counseling, or other licensed- eligible human services field is required.
</p></li><li><p>State of Virginia License in Social Work, Counseling, Psychology or Marriage and Family Therapy is preferred.
</p></li><li><p>License eligibility is required if not fully licensed and registration with the appropriate Board is required within three months of hire.
</p></li><li><p>At least one year of clinical experience working with individuals with mental illness, substance use disorders, developmental and/or intellectual disabilities is preferred.
</p></li><li><p>Experience working with court or criminal justice programs preferred.<br>
</p></li></ul><p></p><p><b>Additional compensation will be considered for any new employees who speak multiple languages.</b></p></div>

Clinician - Court-Based Treatment & Diversion

Crisis Connections

<div>Description:
<p><b>
988 Crisis Services Clinician &mdash; Night Shift (Remote)</b></p><p><b>
Make a life-saving impact when it matters most.</b></p><p>
When the world is quiet, crisis doesn&rsquo;t stop. As a <b>Night Shift 988 Crisis Services Clinician</b>, you&rsquo;ll be the trusted clinical leader supporting callers, chat, and text contacts during overnight hours&mdash;providing calm, expert guidance in moments of highest need.</p><p>
This role is ideal for experienced clinicians who <i>prefer nights</i>, value autonomy, and thrive as the senior clinical presence during overnight operations.</p><p><br>
</p><p><b>Schedule Designed for Night Owls</b></p><ul><li><b>
Night Shift: Thursday&ndash;Saturday, 12:00 AM &ndash; 8:00 AM (Pacific Time)</b></li><li>
Call Team assignment</li><li>
Fully <b>remote</b> (candidates must reside in <b>WA, AZ, OH, or TX</b>)</li></ul><p><br>
</p><p><b>About the Program</b></p><p>
988 Crisis Services provides free, confidential, telephone-based crisis support across King County and Washington State. Our mission is to foster resilience and wellbeing by connecting people to compassionate, accessible care - 24 hours a day, 7 days a week. Overnight clinicians play a <b>critical leadership role</b>, ensuring safety and continuity of care during the most vulnerable hours.</p><p><br>
</p><p><b>Position Summary</b></p><p>
The <b>Crisis Services Clinician (988)</b> is a qualified Mental Health Professional who oversees 988 Suicide &amp; Crisis Lifeline contacts via <b>phone, chat, and text</b>. This role provides advanced risk assessment, clinical decision-making, and real-time consultation while supervising a multidisciplinary overnight team of clinical and paraprofessional staff.</p><p>
Graveyard clinicians are relied upon for strong judgment, calm leadership, and confident decision-making during high-acuity situations.</p><p><br>
</p><p><b>Why Work the Night Shift?</b></p><ul><li>
Increased <b>clinical autonomy</b> and leadership responsibility</li><li>
Fewer competing demands and distractions</li><li>
Strong camaraderie with overnight teams</li><li>
Opportunity to make a meaningful impact during peak-risk hours</li></ul><p><br>
</p><p><b>Key Responsibilities</b></p><ul><li>
Provide direct clinical oversight and support to Crisis Specialists and Crisis Intervention Specialists during scheduled overnight shifts</li><li>
Support staff with suicide risk assessment, de-escalation, and crisis intervention</li><li>
Ensure appropriate linkage to Mobile Crisis Teams, Designated Crisis Responders, Next Day Appointments, and other community resources</li><li>
Provide real-time coaching, consultation, and feedback to staff</li><li>
Ensure accurate and timely documentation in the electronic health record</li><li>
Ensure compliance with all 988 program standards, policies, and procedures</li><li>
Promote a professional, respectful, and supportive virtual team environment</li></ul>
Requirements:
<ul><li>Master&rsquo;s degree in psychology, counseling, social work, or a related field</li><li>
Mental Health Professional (MHP) status as defined by Washington State</li><li>
Active Washington State credential or license, including:
<ul><li>LICSW or LSWAIC</li>
<li>LMHC or LMHCA</li>
<li>LMFT or LMFTA</li>
<li>Psychologist or Psychiatrist</li>
<li>Agency Affiliated Counselor (AAC)</li>
</ul></li><li>Minimum of <b>two years of crisis intervention experience</b></li><li>
Strong verbal, written, and typing skills</li><li>
Ability to work effectively in a <b>remote, fast-paced overnight environment</b></li></ul><p><b>
Preferred Qualifications</b></p><ul><li>
Call center, hotline, or telephone assessment experience</li><li>
Experience within public mental health systems (especially King County)</li><li>
Additional training or certification in suicide prevention or trauma-informed care</li></ul><p><b>
Compensation &amp; Union Representation</b></p><ul><li><b>
$37.24 per hour + $4.00 an hour differential for working the night shift.</b></li><li><b>
OPEIU union-represented position</b></li></ul><p><b>
Benefits &amp; Support</b></p><ul><li>
Excellent <b>medical, dental, and vision</b> coverage - Click here to see all our benefits</li><li>
Generous <b>Paid Time Off</b> and <b>12 paid holidays</b></li><li>
Annual wage increases</li><li>
403(b) retirement plan</li><li>
ORCA transit pass discount</li><li>
Free parking</li><li>
Flexible scheduling</li><li>
Self-care tools and <b>weekly check-ins with your supervisor</b></li><li>
Commitment to diversity, equity, and inclusion&mdash;BIPOC, LGBTQ+, and individuals with disabilities are strongly encouraged to apply</li></ul><p><b>
Working Conditions</b></p><p>
This position involves prolonged sitting or standing, wearing a headset, managing multiple software platforms, and exposure to conversations involving suicide and acute mental health crises. Comprehensive training, supervision, and ongoing support are provided.</p><p><br>
</p><p><b>Join Us</b></p><p>
If you&rsquo;re a skilled clinician who thrives overnight and wants your expertise to matter when it counts most, we&rsquo;d love to hear from you.</p><b>
Your calm presence could be someone&rsquo;s lifeline.</b></div>

988 Crisis Services Clinician (Overnight)

Jefferson Blount St Clair Mental Health Authority

<div><p><b>Clinician, Part time</b></p><p><b>
Normal Work Hours/Days: 7 a.m. - 7:30 p.m.; Every Other Weekend (Saturday &amp; Sunday)
</b></p><p><b>Location: Crisis Care Center</b></p><p>
The Crisis Care Center is designed to provide crisis stabilization to individuals experiencing a behavioral health and/or substance use crisis and reduce pressure on law enforcement and local emergency departments. Once the crisis has been resolved and the individual has been stabilized,<br>
they will be linked with a community mental health provider for on-going services. The individual hired for this position is responsible for the assessment, admission, and/or referral of clients presenting to the Crisis Care Center. In addition, the individual hired will be responsible for<br>
development of treatment plans, implementation of direct clinical services such as individual and/or group therapy, and initiation of discharge plans for clients admitted to the Crisis Care Center.</p><p>
</p><p><b>PRIMARY JOB FUNCTIONS:</b></p><p>
Responsible for the overall planning and coordination of admissions to the Crisis Care Center.</p><p>
Work directly and harmoniously with the Crisis Care Center psychiatrist, Certified Registered Nurse Practitioners (CRNPs), Substance Use Disorder (SUD) Assessor, and all members of the nursing staff.</p><p>
Responsible for conducting initial intake assessments (such as but not limited to biopsychosocial assessments), substance use assessments, telehealth services with law enforcement/hospitals, and other individualized assessments, creating recovery-oriented treatment plans and the initiation of<br>
discharge planning.</p><p>
Responsible for provision of direct clinical services, including individual therapy, group therapy and crisis intervention as indicated by individual need.</p><p>
Coordinate ongoing care with emergency departments, hospitals, community health/mental health providers as needed.</p><p>
Provide accurate documentation in debriefing for daily/weekly reports and/or treatment team meetings as stipulated by program demands.</p><p>
Other duties and tasks as assigned.</p><p>
</p><p><b>MINIMUM QUALIFICATIONS:</b></p><p>
Education: Masters Degree from an accredited college or university in a human services field (i.e., Psychology, Counseling, Social Work, Marriage and Family Therapy).</p><p>
Licensure not required for hire but preferred (i.e., LMSW, LAPC, LAMFT, LICSW, LPC, LMFT).</p><p>
If unlicensed, must be willing to work towards obtaining licensure per ADMH guidelines to provide mental health and substance use services in the state of Alabama.</p><p>
Valid Alabama driver's license and driving record acceptable to agency automobile insurance carrier for inclusion on agency policy.</p><p>
</p><p><b>KNOWLEDGE, SKILLS and ABILITIES:</b></p><p>
Demonstrable knowledge of sound mental health practices and procedures.</p><p>
Demonstrable knowledge of therapeutic techniques used in social, group and family treatment programs.</p><p>
Knowledge of and ability to address trauma related issues.</p><p>
Knowledge of and ability to address substance use related issues.</p><p>
Trained in or willing to be trained in crisis intervention, specifically Therapeutic Options</p><p>
Demonstrable organizational skills as well as the ability to clearly and effectively communicate both orally and in writing.</p><p>
Accurate and effective documentation.</p><p>
Knowledge of the special needs and behavioral characteristics of individuals who are dually diagnosed with mental illness and substance use disorders.</p><p>
Ability to organize, coordinate and manage admissions to the Crisis Care Center in a timely and expedient manner.</p><p>
Ability to provide psychoeducation trainings/presentations (preferred).</p></div>

PT - Day Crisis Care Center Clinician (EOW)

Compass Health Network

<div><h3 class="jobSectionHeader"><b>Description</b></h3><div><br>
<b>
Be the Calm in the Storm as a Mobile Crisis Clinician</b><br>
<br>
<b>Full-time, benefit eligible position. The schedule is Tuesday - Saturday 12:00am-8:00am.</b><br>
</div><div>Do you thrive in fast-paced, high-impact environments where your clinical skills can truly change lives? As a Mobile Crisis Clinician, you&rsquo;ll be on the front lines providing immediate, person-centered crisis intervention to individuals in behavioral health distress. You&rsquo;ll assess needs, de-escalate crises, and ensure individuals are connected with the care and resources they need &mdash; all while collaborating with a compassionate and skilled team.<br>
</div><div><b>This is a great opportunity for someone who:</b></div><ul>
<li>Wants to make a direct difference during critical moments</li>
<li>Values flexibility in their schedule and setting</li>
<li>Is passionate about trauma-informed, culturally competent behavioral healthcare</li>
</ul><div>If you&rsquo;re skilled in risk assessment, calm under pressure, and ready to be a first responder in mental health support, this role is a meaningful next step.</div><br>
<h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><br>
<ul>
<li>
Provide timely crisis assessment and intervention via phone, video, or in person</li>
<li>Conduct Zero Suicide screenings and risk evaluations</li>
<li>Make clinically sound decisions to stabilize individuals and refer to appropriate services</li>
<li>Coordinate care with internal teams and external community partners</li>
<li>Deliver culturally responsive, trauma-informed care</li>
<li>Document services accurately and maintain compliance with agency and state standards</li>
<li>Participate in supervision and collaborate with multidisciplinary teams</li>
<li>Regional travel required; hybrid work environment with office-based shifts required</li></ul><div></div><h3 class="jobSectionHeader"><b><br>
Requirements, Skills, Knowledge and Expertise</b></h3><br>
<ul>
<li>
High School/GED Required</li>
<li>Bachelor&rsquo;s or Master&rsquo;s in social work, psychology, or related field preferred</li>
</ul><div><b>WORK EXPERIENCE/TRAINING/ADDITIONAL REQUIREMENTS</b></div><ul>
<li>At least one (1) year experience working in behavioral health required if Bachelor&rsquo;s degree is the highest education level obtained</li>
<li>Working knowledge of DSM-V required</li>
<li>A valid driver's license and agency established minimum automobile coverage required</li>
<li>Reliable transportation</li>
</ul><div><br>
<b>LICENSURE/CERTIFICATION</b></div><ul>
<li>MO Substance Use credential required (CRADC or CADC) (if high school is highest education obtained)</li>
<li>PLPC, LMSW, LPC, PLMFT, LMFT, or LCSW preferred</li>
</ul><div><b>You&rsquo;ll Be A Great Fit for This Role if You:</b></div><ul>
<li>Are passionate about showing up for others in crisis and creating a safe, supportive space</li>
<li>Have strong clinical instincts and can remain calm under pressure</li>
<li>Thrive in dynamic environments and are flexible with shifting needs or locations</li>
<li>Communicate clearly and compassionately with individuals, families, and community partners</li>
<li>Are confident in your clinical documentation and assessment skills</li>
<li>Believe in whole-person, strength-based care and the power of connection during critical moments</li>
</ul><div><b>IND2</b></div><h3 class="jobSectionHeader"><b><br>
About Compass Health Network</b></h3><div><b>
About Compass Health Network</b></div><div>
Compass Health Network is a nonprofit organization dedicated to delivering accessible, high-quality care throughout Missouri. We provide a comprehensive range of integrated services, including behavioral health, substance use treatment, primary care, and dental care. As both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC), Compass Health is uniquely positioned to meet the complex and evolving needs of the communities we serve.</div><div>
Our network includes <b>Royal Oaks Hospital</b> and <b>Adapt of Missouri</b>, allowing us to expand our impact and reach across the state. Each part of our organization contributes to our mission: <b>Inspire Hope. Promote Wellness.</b>
</div><div></div><div>
<b>Adapt of Missouri</b>, a subsidiary of Compass Health Network, has been serving the St. Louis metropolitan area since 1982. While Adapt operates as a <b>for-profit organization</b>, it shares our commitment to providing high-quality, person-centered mental health services. Adapt specializes in community-based support for adults with mental health conditions, focusing on recovery-oriented services such as psychosocial rehabilitation and case management that foster independence and meaningful community engagement.</div><div>
</div><div>
<b>Royal Oaks Hospital </b>serves all acute behavioral health care inpatient needs for children and adolescents 24 hours a day, 7 days a week. Our multi-disciplinary team continually strives to set the standards in patient safety and are committed to providing the highest quality of care. Royal Oaks Hospital believes in the health and wellbeing of our patients and it shows in the care they receive each and every day.</div><div></div><div><br>
</div><div><b>
Why Join Us?</b></div><div>
Whether you're joining <b>Compass Health Network</b> or <b>Adapt of Missouri</b>, you&rsquo;ll become part of a dedicated, mission-driven team committed to transforming lives through compassionate, innovative care. We foster a supportive, collaborative environment where your work is valued and your professional growth is encouraged.</div><div>
We offer:</div><ul>
<li>Competitive Benefits</li>
<li>Opportunities for career advancement</li>
<li>Personal and professional development</li>
<li>Licensure supervision</li>
<li>Tuition reimbursement &amp; scholarships</li>
<li>Employee Assistance Program (EAP)</li>
<li>Wellness program with Xponential access</li>
<li>Generous paid time off and holidays</li>
<li>National Health Service Corp loan repayment eligibility*</li>
</ul><div></div><div>
<b>*Please note:</b> While Compass Health Network is eligible for the <b>National Health Service Corps (NHSC) Loan Repayment Program</b>, positions with <b>Adapt of Missouri are not eligible</b> due to its for-profit status.</div><div>
</div><div><b>
Your Career, Your Impact</b></div><div>
Whether you're beginning your career or looking to take the next step, you&rsquo;ll find purpose and opportunity with us. Join a team where your skills and compassion make a meaningful impact&mdash;every single day.</div><div><b>
</b></div><div><b>
Ready to make a difference? We&rsquo;d love to hear from you!</b></div><div>
</div><div>
<b>Equal Opportunity Statement</b><br>
Compass Health Network is an Equal Opportunity/Affirmative Action Employer and an E-Verify participant.</div></div>

Mobile Crisis Clinician (Overnights)

Aledade, Inc.

<div><div>The <b>Pharmacy Outreach Specialist</b> is responsible for patient outreach, coordinating with practices and pharmacies to promote medication adherence and improve patient health outcomes and pharmacy quality measures.</div>
<div></div>
<div>We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home <b>across US time zones.</b></div>
<h3 class="jobSectionHeader"><b>Primary Duties</b></h3><div>
<p><b>
Patient Outreach</b></p>
<ul>
<li><p>Conduct &amp; handle high-volume outbound and inbound calls with patients, providers, and pharmacies using established scripts and protocols while meeting and sustaining performance goals (i.e. calls/hour, call quality, etc.)</p>
</li>
</ul><ul><li><p>Collaborate with patients to actively problem-solve, identify and remove barriers to medication adherence (i.e. cost, forgetfulness, or lack of perceived need) and/or escalate clinical barriers to a pharmacist</p>
</li>
<li><p>Overcome patient objectives and reluctance through influence, empathy, and education to secure patient commitment to medication adherence.</p>
</li>
<li><p>Proactively coordinate with medical providers or pharmacies as needed to ensure prescription refills occur as scheduled.</p>
</li>
<li><p>Accurately document all interactions, outcomes, and identified barriers in appropriate systems.</p>
</li>
</ul><p><b>Process Improvement, Learning &amp; Collaboration</b></p>
<ul>
<li><p>Identify opportunities to enhance pharmacy workflows and processes</p>
</li>
<li><p>Participate in training and peer-to-peer learning opportunities to build subject matter expertise in pharmacy quality metrics (e.g., STARs)</p>
</li>
<li><p>Provide feedback, share best practices, and assist employees to support achievement of program, departmental, and organizational goals</p>
</li>
</ul><p><b>Other duties as assigned</b></p>
</div><h3 class="jobSectionHeader"><b>
Minimum Qualifications</b></h3><div>
<ul>
<li><p>High School Diploma</p>
</li>
<li><p>Minimum 1 year of experience in a call center environment providing patient outreach</p>
</li>
<li><p>Regular and predictable attendance; Ability to work any shift between 8 AM - 7 PM EST with the potential for evening and Saturday coverage as dictated by business needs</p>
</li>
<li><p>Excellent verbal communication, active listening, and negotiation skills</p>
</li>
<li><p>Ability to overcome objections and build rapport with patients or customers</p>
</li>
<li><p>Proficient with call center platforms and electronic health records (EHR) platforms</p>
</li>
<li><p>Proficient in Microsoft Excel and Google Sheets</p>
</li>
<li><p>Ability to work in a fast paced environment and adapt quickly to change</p>
</li>
<li><p>Strong organizational skills with an attention to detail and accuracy</p>
</li>
<li><p>Must have access to reliable high speed internet connection</p>
</li>
</ul></div><h3 class="jobSectionHeader"><b>Preferred Qualifications</b></h3><div>
<ul>
<li><p>Associate&rsquo;s Degree</p>
</li>
<li><p>Pharmacy Technician Certification (CPhT or ExCPT) or Active Pharmacy Technician License in any state</p>
</li>
</ul></div><h3 class="jobSectionHeader"><b>Physical Requirements</b></h3><div>
<ul>
<li><p>Prolonged periods of sitting at a desk and working on a computer</p>
</li>
</ul></div><div><b>Who We Are:</b></div><div>
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.</div><div></div><div><b><br>
What Does This Mean for You?</b></div><div>
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.</div><div></div><div><br>
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:</div><div></div><div><br>
Flexible work schedules and the ability to work remotely are available for many roles</div><div>
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners</div><div>
Robust time-off plan (21 days of PTO in your first year)</div><div>
Two paid volunteer days and 11 paid holidays</div><div>
12 weeks paid parental leave for all new parents</div><div>
Six weeks paid sabbatical after six years of service</div><div>
Educational Assistant Program and Clinical Employee Reimbursement Program</div><div>
401(k) with up to 4% match</div><div>
Stock options</div><div>
And much more!</div><div></div><div><i><br>
At Aledade, we don&rsquo;t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.</i></div><div></div><div><br>
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants</div>
<p>
We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.</p></div>

Outreach Specialist, Pharmacy Outreach

OSF HealthCare

<div>Total Rewards:
<div>
&quot;Your life - our Mission&quot;</div><div>
OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF.</div><div></div><div><br>
Pay range for this position is $34.25 - $51.13/hour. Actual pay is based on years of licensure. This is an Hourly position.</div>
Overview:
<div><b>
POSITION SUMMARY: </b>The Coordinator of Clinical OB Outreach, according to established procedures, is responsible for assessing the educational needs of perinatal, obstetrical, and maternal/fetal nursing personnel at the Medical Center and affiliate hospitals and agencies.</div>
Qualifications:
<div><b>
REQUIRED QUALIFICATIONS:</b></div><ul><li>
Education: Bachelor&rsquo;s degree in nursing</li><li>
Experience: 5 years of Family Birthing or Women's Services experience</li><li>
Licensure/ Certification: Illinois Registered Nurse License issued by Illinois Department of Financial and Professional Regulation (IDFPR)</li><li>
Other Skills/ Knowledge: Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem-solving skills, with the ability to be detail oriented.</li></ul><div></div><div><i><br>
OSF HealthCare is an Equal Opportunity Employer.</i></div></div>

Coordinator Clinical Obstetrics Outreach

MEDPOINT MANAGEMENT

<div><h3 class="jobSectionHeader"><b>Summary</b></h3><div>
Thursday-Monday 8am-5pm. The Outpatient UM Coordinator provides effective communication between MSO, IPA providers, and members to coordinate member care. Communication to include accessibility to care, validating contract entities, and ensuring timeliness standards are met. The Outpatient UM Coordinator reports directly to the Outpatient Lead Coordinator under the guidance of the Supervisor.</div><p></p><h3 class="jobSectionHeader"><b>
Duties and Responsibilities:</b></h3><ul><li>
Process authorization requests per state and federal timeliness regulations</li><li>
Validate data entry process for errors</li><li>
Verify member benefits and eligibility upon receipt of treatment authorization request</li><li>
Utilizes authorization matrix, ancillary rosters, DOFR and/or delegation agreements to drive decision-making</li><li>
Coordinates with referral Clinician and/or Medical Director for timely processing</li><li>
Communicate with Medical Directors to facilitate Medical Reviews for non-clinical medical review referrals</li><li>
Outreach to members on adjudication decisions</li><li>
Outreach to providers offices when additional information is needed</li><li>
Maintain knowledge of CMS &amp; Medi-Cal policy guidelines i.e. Medicare LCD vs NCD</li><li>
Identify &amp; inform Case Management Clinician on complex care diagnoses</li><li>
Screen cases for possible California Children Services (CCS) eligible condition</li><li>
Read and maintain email inquiries</li><li>
Collaborate with other departments (i.e. Claims, PNO, etc.) to resolve member/provider matters as needed</li><li>
Data entry for additional requested services, as needed</li><li>
Assist with special projects, as needed</li><li>
Assists other team members with their workload, as needed</li><li>
Regular attendance at UM team meetings</li></ul><p></p><h3 class="jobSectionHeader"><b>
Minimum Job Requirements:</b></h3><ul><li>
High School graduate or GED equivalent</li><li>
One-year medical office experience</li><li>
Knowledge of medical terminology</li><li>
Proficiency in Microsoft Office programs, especially Word and Excel</li><li>
Proficiency in EZCAP a plus</li></ul><p></p><h3 class="jobSectionHeader"><b>
Skills and Abilities:</b></h3><ul><li>
Ability to multi-task while remaining adaptable and flexible to fast-paced environment</li><li>
Reliable, dependable, and accountable</li><li>
Strong customer service skills with good telephone rapport</li><li>
Ability to empathize with complex cases</li><li>
Self-Motivation and ability to work effectively in an independent environment</li><li>
Great critical thinking and problem-solving skills</li></ul><p></p><h3 class="jobSectionHeader"><b>
Salary Range:</b></h3><ul><li>
$21 &ndash; $23 hourly</li></ul></div>

Outpatient UM Coordinator (Thursday-Monday 8am-5pm)

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