QMHP UM Team Lead
1 week ago
Description
QMHP UM Team Lead
You want to make a difference in the lives of our clients; we need your expertise to carry out with our mission.
As the QMHP UM Team Lead you will assists the System Director of Utilization Management in providing systemic, on-going support to the Program Network in the form of tracking authorizations, researching issues, coordinating with third party payors, outside agencies, and clinics, processing discharges, reviewing Flex Fund requests, and completing any additional responsibilities necessary to ensure the Utilization Management Department operates at its highest level of performance.
Why join us:MHMR has proudly served Tarrant and adjacent county residents for over 50 years. As the second largest mental health community center in Texas, we are dedicated to serving adults and children living with mental illness, substance use disorder and intellectual and developmental disabilities and delays and empowering them to improve their lives through an accessible, integrated, comprehensive person-centered system of care.MHMR is a mission-driven organization that fosters a culture of caring for employees and the people we serve. Our mission statement isWe Change Lives.
Minimum Requirements: Bachelor's Degree
Defined Education: Psychology, Sociology, or Social Work
Years' Experience: Two (2) years
Defined Experience: Combination of direct care and/or administrative experience with LMHA/LIDDA agency
License/Certifications: Must be able to be credentialed as a QMHP
WeCARE:
- WeConnectPeople in Our Community
- We ProvideAccessto Services
- We Link People toResources
- WeEmpowerPeople
- Respect for people who are active in planning their services
- Recovery is a life-long process of better health
- Success as positive outcomes for each person
- Participation of people and their families in the process
- Inclusion in the community through services that promote growth and independence
- Safe, ethical, and cost-effective services
- Best practices in current research in medical, psychosocial and organizational fields
- Collaboration with other organizations for better services
- Must demonstrate compassion, trauma-informed care, and safety practices including suicide safe care
Benefits: MHMR offers an excellent benefits package that includes a retirement plan with company matching, generous PTO accrual, ten paid holidays, employee assistance programs, wellness programs, and more. MHMR is a participant in the Student Loan Forgiveness Program. We workdiligently to provide excellent benefits to employees and their eligible dependents.
MHMR offers maximum compensation for each position's requirements based on the candidates' education, experience, and internal equity of the agency. This practice reduces potential for biases in compensation and assists hires and/or promotions on pay equity in their appropriate position(s) at MHMR.
For a complete Job Description, please reach out torecruiting@mhmrtc.org
Minimum Requirements
n/a
-
UM/ECM - RN Reviewer (Health Plan)
1 week ago
Fort Worth, TX, United States Cook Children's Health Care System Full timeLocation: Calmont Operations Building Department: Utilization Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: Responsible for the coordination and efficient utilization of health care resources for Cook Childrens Health Plan (CCHP) members. Works with the Department Manager and Team Lead to assure the timely provision of...
-
UM/ECM - RN Reviewer (Health Plan)
1 week ago
Fort Worth, TX, United States Cook Children's Health Care System Full timeLocation: Calmont Operations Building Department: Utilization Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: Responsible for the coordination and efficient utilization of health care resources for Cook Childrens Health Plan (CCHP) members. Works with the Department Manager and Team Lead to assure the timely provision of...
-
UM/ECM - RN Reviewer (Health Plan)
1 week ago
Fort Worth, TX, United States Cook Children's Health Care System Full timeLocation: Calmont Operations Building Department: Utilization Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: Responsible for the coordination and efficient utilization of health care resources for Cook Childrens Health Plan (CCHP) members. Works with the Department Manager and Team Lead to assure the timely provision of...
-
UM/ECM - RN Reviewer (Health Plan)
6 days ago
Fort Worth, TX, United States Cook Children's Health Care System Full timeLocation: Calmont Operations Building Department: Utilization Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: Responsible for the coordination and efficient utilization of health care resources for Cook Childrens Health Plan (CCHP) members. Works with the Department Manager and Team Lead to assure the timely provision of...
-
UM/ECM - RN Reviewer (Health Plan)
2 weeks ago
Fort Worth, TX, United States Cook Children's Health Care System Full timeLocation: Calmont Operations Building Department: Utilization Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: Responsible for the coordination and efficient utilization of health care resources for Cook Childrens Health Plan (CCHP) members. Works with the Department Manager and Team Lead to assure the timely provision of...
-
RN UM Clinical Appeals Nurse Remote
6 days ago
Fort Worth, TX, United States Fort Worth Staffing Full timeClinical Appeals Nurse (RN) The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes by ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. The nurse assesses the appropriateness of...
-
RN UM Clinical Appeals Nurse Remote
1 week ago
Fort Worth, TX, United States Fort Worth Staffing Full timeClinical Appeals Nurse (RN) The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes by ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. The nurse assesses the appropriateness of...
-
RN UM Clinical Appeals Nurse Remote
4 days ago
Fort Worth, TX, United States Fort Worth Staffing Full timeClinical Appeals Nurse (RN) The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes by ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. The nurse assesses the appropriateness of...
-
RN UM Clinical Appeals Nurse Remote
2 days ago
Fort Worth, TX, United States Fort Worth Staffing Full timeClinical Appeals Nurse (RN) The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes by ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. The nurse assesses the appropriateness of...
-
RN UM Clinical Appeals Nurse Remote
10 hours ago
Fort Worth, TX, United States Fort Worth Staffing Full timeClinical Appeals Nurse (RN) The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes by ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. The nurse assesses the appropriateness of...
