Top 11 Utilization review Jobs in Jasper, Ga

Social Worker
Willowbrook Hospice —Ellijay, GA
- Full-time
- Master of Social Work
- Licensed Clinical Social Worker
- Mid-level
Quick Apply
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
9d
Registered Nurse | Review Analyst I | Remote | Detroit, MI | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- RN License
- 3 years
- Health insurance
- Dental insurance
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2d

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UR Coordinator, Full Time
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High school diploma required; associate or bachelor’s degree in nursing, healthcare administration, or related field preferred. Pay Range: $24 - $32hr.
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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…

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utilization review jobs near jasper, ga

Social Worker

Willowbrook Hospice -
Ellijay, GA

Quick Apply

Job Details

Full-time

Qualifications

Master's degree in social work
Master of Social Work
Employee relationship building
Driving
Working with families
Home health

Full Job Description

I. QUALIFICATIONS

Master degree from a social work accredited by the Council on Social Work Education. LCSW is preferred. Must have at least two years of experience working with geriatric population. Two years hospice experience is preferred. Must have strong communication skills and the ability to relate positively to others. Must have the ability to work with fellow employees and volunteers. Must be effective in working with different levels of health care providers, and able to express the hospice concept to families, patients, community, volunteers, staff, and other professionals.

II. RESPONSIBILITIES

The Social Worker works as a member of the Interdisciplinary Team to:

Assess the psychosocial/spiritual needs of patient/family.
Evaluate patient insurance coverage and financial status and refer to appropriate agencies for assistance.
Provide social service activities related to terminally ill patients and their families, including planning, treatment, and consultation with other staff.
Assist in the development and implementation of the patient/family Plan of Care.
Participate with Self Managed Care Teams to provide support and education for patient/families based on the hospice philosophy of care.
Participate in IDT meetings and keep team members informed of changes in patient/family psych social work POC.
Provide counseling to patients/families and hospice staff as needed.
Relate positively to various types of personalities and family dynamics, and deal effectively with angry, hostile, or grief reactions.
Make referrals to community resources as appropriate to meet patient/family needs.
Participate in bereavement follow-up services as required.
Maintain adequate, complete, and timely records of all activities and services provided to patients/families.
Assist in the orientation and training of volunteers, staff, physicians, and community members as requested.
Assist in the development of support groups and other special programs, as necessary.
Participate in CQI and Utilization Review programs.
Work as a team member at all times.
Maintain and uphold the Hospice Code of Ethics.

III. JOB CONDITIONS

Job requires the ability to:

Access patients’ homes and all rooms therein
Drive a car.
Communicate effectively with patient/families both verbally and written.

IV. ORIENTATION AND TRAINING

Hospice will provide orientation and training on Hospice philosophy and procedures as necessary, to assist the Social Worker in performing the responsibilities listed above. Training may be in-house, or outside seminars. Evidence of orientation and training will become part of the personnel file.

V. ACCOUNTABILITY

Reports directly to the Executive Director.

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utilization review jobs in jasper, ga

Social Worker

Utilization Management Reviewer

Appeals Professional III (Licensed Clinician)

Registered Nurse | Review Analyst I | Remote | Detroit, MI | Contract

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