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Certified Community Health Worker Preferred Bilingual - English & Spanish Preferred 3pm- 11pm Southeast Hospital BASIC FUNCTION: Connects un-insured and under-insured populations with community health and social service resources and benefits; identifies as needed medical, mental health, and dental homes; links with providers; completes eligibility applications; addresses barriers to access;...
Clinical Information Analyst - Pearland (100043072)
Clinical Information Analyst - Pearland BASIC FUNCTION: Position is responsible for planning, reviewing, and implementing all activities and functions of clinical transformation using Information Technology, providing ongoing managerial, technical and motivational leadership while supporting the values and objectives of Memorial Hermann Healthcare System. The Clinical Information Analyst will participate in.
Responsible for ensuring accurate and timely clinical review of behavioral health (substance dependence) cases for medical necessity based on federal, state and payer guidelines. This includes reviewing medical records, for pre-authorization, concurrent, discharge, retrospective and appeal medical necessity reviews utilizing knowledge of medical necessity criteria for all levels of behavioral.
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