Medical Claims Review Manager jobs in Wyoming

• Paid training program
• Excellent and affordable full benefits package (including employee wellness) within 30 days of starting
• Start earning Paid Time off from your first day of work
• Education/Tuition Reimbursement program – continue to develop your skills
• Serve others in a therapeutic, teamwork-oriented work environment with a diverse and collaborative multi-disciplinary team of clinical professionals
• Opportunities to grow and develop your clinical skills in Case Management and Utilization Review

• YOU WILL use your clinical skills to work with the Utilization Review & Treatment teams to assist with patient caseloads, pre-certifications, assist with performing concurrent reviews & certify cases for inpatient and residential clients.

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  YOU WILL be an active interdisciplinary team member with the treatment team, physicians, Therapists, Case Management and other disciplines and will interface with payer sources and insurance companies to support & optimize patient treatment.

• YOU WILL be equipped to communicate effectively the necessary information regarding patient status, treatment, covered services, treatment plans, transition plans, discharge and upcoming reviews. Work actively with clinicians, insurance plans, business associates and outside agencies & treatment providers to achieve the best outcome for WBI patients.

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• You Must be at twenty-one (21) years of age to apply

• You must have a BSW or BA/BS in social sciences, healthcare, or related human services degree

• You must be in good mental health and physical condition (able to walk, bend, reach), and willing to work with psychiatric patients, families, providers and insurance companies in an active & busy treatment setting.

• You must have effective interpersonal and presentation skills when working with treatment teams, physicians, patients and staff members

• You must have one year of experience in social services, clinical services, public health, community resource development or related discipline.

• You will use your expertise as a member of the treatment team and will be expected to give input into treatment decisions, consistent with your education and clinical experience.

• You Must be at twenty-one (21) years of age to apply

• You must have a BSW or BA/BS in social sciences, healthcare, or related human services degree

• You must be in good mental health and physical condition (able to walk, bend, reach), and willing to work with psychiatric patients, families, providers and insurance companies in an active & busy treatment setting.

• You must have effective interpersonal and presentation skills when working with treatment teams, physicians, patients and staff members

• You must have one year of experience in social services, clinical services, public health, community resource development or related discipline.

• You will use your expertise as a member of the treatment team and will be expected to give input into treatment decisions, consistent with your education and clinical experience.