PAR Specialist

Role and Responsibilities

The PAR Specialist will ensure all clients/potential clients eligible for clinical services (Therapy, IOP, RMH, etc.) have appropriate Prior Authorization Requests completed and submitted timely and efficiently.  The primary PAR Specialist duties are as follows:

• Complete PAR’s (Prior Authorization Requests) timely and efficiently for Therapeutic and RMH services (additional PAR’s for services as assigned)

• Track submission dates, expiration dates and other pertinent timeframes to ensure no lapses or gaps occur in services

• Communicate with service providers to ensure all necessary information/documentation has been received for submission

• Communicate with stakeholders (Anthem Healthcare, Medicaid, Medicare, etc.), clinicians and staff to ensure coordination/authorization of services is attainable

• Assist with appeals process as necessary

• Track and complete re-authorizations for services  

• Other duties as assigned

Qualifications and Education Requirements

Minimum High Diploma

(2) Years’ Experience in Healthcare Field

Excellent Writing Skills

Excellent Communication Skills

Excellent Customer Service Skills

Ability to problem solve and respond quickly/multitask efficiently

Ability to utilize technology and software (laptop, email, telephone, Google drive, Microsoft office, etc.)

Ability to gather information and synthesis information received

Ability to work independently with minimal supervision

Preferred Skills

Excellent Typing Skills

Excellent Customer Service Skills

Experience in Behavioral Health/Medical Setting

BST/PSR

Position

Looking for Providers who are currently enrolled in Medicaid with active NPI# QMHA (PSR) Independent contractor.

QMHA (PSR) Requirements: A bachelor's degree in psychology, sociology, social work, or related social services degree.

Ability to work independently and with individuals with mental health issues and their families. Attend weekly meetings and monthly training's.

Able to work variable hours including weekends.

Already enrolled as a QMHA with Medicaid.

QBA (BST) Requirements: Independent contractor.

Ability to work independently and with individuals with mental health issues and their families.

Attend weekly meetings and monthly training's.

Able to work variable hours including weekends.

Already enrolled as a QBA through Medicaid to provide BST.

All applicants MUST have: FBI Background Checks TB test results CPR and First Aid Certified Valid Driver's License Proof of Valid Auto Insurance Reliable Transportation

Job Type: Contract

Required education:

• Bachelor's

Required experience:

• BST: 1 year

Pharmacy Technician for In-Office Dispensary

As a Pharmacy Technician you will assist with various pharmacy activities under the supervision of the physician(s) by performing the following functions:
-Accessing SureScripts for prescriptions
-Entering patient data in software system (demographics, allergies, insurance, etc)
-Adjudicating claims electronically through software system
-Resolving insurance rejections
-Filling prescriptions
-Managing inventory by receiving stock in software system, stocking inventory on shelves, perform quarterly out-date checks, setting order points, preparing order for physician to review
-Providing excellent customer service by being prompt and pleasant
-Multi-tasking and prioritizing duties

Job Type: Full-time

Required education:

• High school or equivalent

Required experience:

• Pharmacy Technician: 1 year

Required language:

• Spanish preferably but not required

Required license or certification:

• NV State Board of Pharmacy, Pharmacy Technician License

Pharmacy Technician for Medication Dispensing

We are seeking a Pharmacy Technician For Medication Dispensing at an Assisted Living Facility to become a part of our team!

Responsibilities:

• Prepare medication and other healthcare products for patients
• Measure dosage of medications, according to prescription orders
• Monitor storage and inventory of medications and supplies

Qualifications:

• Previous experience in pharmacy or other related fields
• Strong analytical and critical thinking skills
• Excellent written and verbal communication skills
• Strong attention to detail
• Strong organizational skills

Behavioral Health Technician

Summary/Objective

The behavioral health specialist, as part of the primary care treatment team, identifies, triages and manages patients with medical and behavioral health problems within the primary care setting. In addition, the behavioral health specialist provides skill training through psychoeducation and patient education strategies and develops specific behavioral change plans for patients and behavioral health protocols for target populations.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Assists primary health care providers in recognizing and treating mental disorders and psychosocial problems.
2. Assesses the clinical status of patients referred by primary care providers through brief consultative contacts.
3. Works with the primary care team to efficiently and effectively treat and manage patients with chronic emotional or health problems.
4. Works with the primary care provider to refer cases to mental health specialists as appropriate.
5. Assists in the detection of at-risk patients and development of plans to prevent further psychological or physical deterioration.
6. Assists in preventing relapse or morbidity in conditions that tend to recur over time.
7. Evaluates patient care plans with primary care team.
8. Teaches patients, families and staff about care, prevention and treatment enhancement techniques.
9. Monitors the site’s behavioral health program, identifying problems related to patient services and making recommendations for improvement.
10. Attends and participates in meetings and quality improvement activities as required.
11. Serves as a member of committees as requested.
12. Participates in evaluation of peers and support staff.
13. Furthers the mission of the organization through active support of the strategic goals.

Competencies

1. Communication Proficiency.
2. Ethical Conduct.
3. Personal Effectiveness/Credibility.
4. Problem Solving/Analysis.
5. Thoroughness.

Work Environment

This position works in an outpatient mental care facility. There will be frequent interaction with persons who are mentally ill, disabled, elderly and emotionally upset.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is required to speak and hear sufficiently to communicate effectively by phone or in person at normal volumes. The employee’s vision must be adequate to read correspondence, computer screen, forms, etc. The position requires good manual dexterity.

Position Type and Expected Hours of Work

This is a full-time position. Expected hours are 40 hours per week, Monday through Friday.

Business Development Representative for Pharmacy

We are a retail and compounding (non sterile) pharmacy looking for experienced and energetic marketer who knows how to generate compounding prescription business.

Skills required:

You should be able to

• Establish new business with physicians
• Develop strong sustainable relationships with physicians and office staff
• Provide regular feedback
• Work independently and efficiently to meet goals
• Outgoing personality
• Professional attire at all times,Organized, self motivated, and creative.
• In-person marketing experience required.
• Must pass criminal background check and drug test

Required experience:

• Pharmacy technician experience preferred
• Compounding knowlege and experience preferred but not required
• Marketing

Transport Driver

Well Care is currently hiring full-time drivers to transport clients to and from non-emergency medical and non-medical appointments in the Las Vegas and Henderson area.

Applicant's requirements:

• A current valid driver's license
• A clean motor vehicle driving record
• Be at least 25 years old
• Must pass a criminal background check
• Must pass a drug test

This position is responsible for transporting clients over specified distant points according to a set time schedule. Duties involve the ability to operate the assigned vehicle in a safe, reliable, and professional manner while being courteous, patient, and helpful to all passengers.

Job Type: Full-time

Job Location:

• Las Vegas, NV

Required education:

• High school or equivalent

Required experience:

• Transport Driving: 1 year

Required license or certification:

• Driver's License

Administrative Medical Assistant

Job Summary:

Provides non-licensed medical and scheduling support to medical providers in the care and treatment of patients.Conveys a positive image through excellent communications, customer service skills scheduling to support patients/families, and facility personnel. Acts as a liaison between patients and physicians when appropriate. Schedules initial and follow up appointments with patients and provides additional information to patients on an as needed basis to ensure continuity of care. Ensures compliance with established documentation requirements and assists with answering office telephones when needed.

Must have exceptional interpersonal skills and be able to deal with differing personalities on a daily basis as assistant to a medical professional and supervisor to administrative staff. Must have effective and professional communication skills, both verbal and written.

Bilingual Spanish speaking preferred

Knowledge, Skills and Abilities:

• Knowledge of insurance verification process
• Understanding of documentation required for physician appointments.
• Knowledge of Electronic Health Systems
• Knowledge of ICD-9 and CPT codes
• Knowledge of medical terminology
• Skill in multi-tasking.
• Skill in customer service.
• Skill in computer hardware and software use.
• Skill in verbal and written communication.
• Skill in analyzing situations accurately and taking effective action.
• Skill in establishing and maintaining effective working relationships with employees, faculty, third-party payers, patients, and the public.
• Skill in organizing work, making assignments, and achieving goals and objectives.
• Skill in exercising judgment and discretion in developing, applying, interpreting, and coordinating departmental policies and procedures.
• Knowledge of and ability to adhere to HIPAA and confidentiality policies.

Job Type: Full-time

Job Location:

• Reno, NV

Required education:

• High school or equivalent

Required experience:

• Administrative Assistant: 1 year

Required language:

• Spanish

Case Manager

Job Description
Well Care Services is a Behavioral Health Clinic looking for Case Managers to join our team. We are hiring a team of case managers that will be working hands on with patients out on the field.

Minimum Qualifications: Bachelor's degree in Human Services or related field and a minimum of two years of experience working with adults with serious mental illness; or an equivalent combination of training and experience. Knowledge of serious mental illness, substance abuse, psychotropic drugs, entitlement programs and recovery oriented services required. Interviewing, service planning, consultation, public relations, and experience with electronic medical record. Computer skills and the ability to type required. Good driving record required. Must not reflect a total accumulation of six or more negative points within the past three years or a major violation within the past four years. Pre-employment drug testing and FBI criminal background check required.

Duties: Well Care Services is seeking a full time qualified Mental Health Case Manager to provide services to consumers with mental illness. Functions include assessing consumers' strengths and needs; developing individualized service plans; completing services assessments; linking consumers with other community resources; coordinating services including health care and monitoring sufficiency of services and goal attainment; collaboration with other professionals. Perform other work as required.

Nurse Practitioner Specializing in Primary Care

Positions Available

• Full Time
• Part Time
• Per Diem

Primary Responsibilities:

• Manage medical chronic and acute conditions effectively in collaboration with a physician or specialty provider
• Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations
• Ensure that all diagnoses are ICD9/ICD10 coded accurately and documented appropriately to support the diagnosis
• Ensure that all quality elements are addressed and documented
• Conduct a post-hospitalization medication reconciliation
• Facilitate agreement and implementation of the member's plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians
• Utilizes practice guidelines and protocols established by the facility
• Care Coordination
• Assess the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members
• Coordinate care as member's transition through different levels of care and care settings
• Continually monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change
• Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the member's needs and wishes
• Evaluate plan of care for cost effectiveness while meeting the needs of members, families and providers to decreases high costs, poor outcomes and unnecessary hospitalizations

RequirementsTo be considered for this position, applicants need to meet the qualifications listed in this posting.

Required Qualifications:

• 1+ year of experience as a Nurse Practitioner or Physician Assistant
• National Nurse Practitioner certification in Adult Medicine, Family or Gerontology or ability to obtain, or Physician Assistant certification or ability to obtain
• APRN or PA-C Licensure in Nevada or ability to obtain
• DEA or ability to obtain prior to employment
• Intermediate level of technical proficiency in the use of computer programs for medical records or internet search for clinical practice
• Ability to complete clinical care lifting in a provider office environment

Preferred Qualifications:

• Experience with geriatric patients in a skilled facility or community based program
• Ability to formulate a differential diagnosis
• Proficient in assessment and development of treatment plans
• Ability to conceptualize the needs for the team or department and actualize plans for implementation
• Ability to develop plans of action and gain team consensus towards common goals
• A background in managed care
• Familiarity with ICD-9 coding

Clinical Mental Health Supervisor

Compensation: DOQ

Employment type: Full-Time

Insurance: Medical, Dental and Vision

Well Care Services is an integrated healthcare service model that includes psychiatric care, primary care, medication management, therapy, rehabilitative services, case management and housing services for the underserved. Through this program, we impact the patients and community we serve as well as deliver measurable results to our healthcare partners.

Well Care Services (WCS) is currently recruiting for a Clinical Mental Health Supervisor.

The Clinical Supervisor is a member of a multi-disciplinary team and coordinates day-to-day activities for the function of WCS.

The Clinical Supervisor provides direct administrative and clinical supervision to WCS therapeutic staff. The Clinical Supervisor will ensure close coordination and collaboration with the Case Management Department (CMD), Basic Skills Training (BST) and Psychosocial Rehabilitation (PSR) department, the Mobile Crisis Assessment Team (MCAT), and Well Care Services Psychiatric and Medical Department (PMD).

This position includes administrative duties associated with planning, hiring, and quality assurance/improvement.

MAJOR DUTIES AND RESPONSIBILITIES:

Assist the WCS leadership in planning, implementing and coordinating WCS existing integrated services and development of new integrated services.

Support and train WCS staff toward improved care standards and practice skills.

Assure compliance with all relevant contract and procedure requirements.

Teach and promote core WCS values, crisis intervention and de-escalation skills, and causes and effects of homelessness essential to ensure the safety of clients and staff.

Provide individual supervision and consultation for team members.

Conduct performance evaluations of clinical staff on scheduled basis and keep supporting documentation in confidential files.

Coordinate and participate in psychiatric consultation, clinical supervision, program meetings, and in-service training of WCS program staff; participate in clinical reviews and case conferences.

Coordinate and Oversee the schedule of WCS therapy department.

Supervise and review team clinical documentation to assure that team members maintain current and complete clinical records, and that records comply with the agency's clinical accountability policies and procedures, and local, state and federal requirements.

Maintain familiarity with agency and mental health system policies and procedures and assure adherence to these procedures.

Identify need, and advocate for, modification to procedures.

Cooperate and problem solve with community providers and other relevant entities.

Participate in verbal de-escalation and physical interventions in emergent situations and be willing and able to assist other staff as needed to maintain a safe and secure environment.

Maintain a Quality Assurance (QA) program which continually assesses quality measures and seeks to improve services on an ongoing basis.

MINIMUM QUALIFICATIONS:

Current Nevada Licensure for Licensed Clinical Social Worker (LCSW)

Licensed Marriage and Family Therapist (LMFT) or Licensed Clinical

Professional Counselor (LCPC).

Master's degree in a Social Work, Family Therapy or Clinical Mental Health Counseling.

Meet minimum criteria as a Mental Health Professional as defined by current MSM Chapter 400.

Pass a Nevada State Criminal background check.

Minimum of 2 years full time experience delivering direct mental health and case management services to severely mentally ill population in a community setting.

Possess the skills and attitude to provide sound clinical and administrative supervision.

Familiar with Recovery Principles, Crisis Intervention and Stabilization, Integrated Treatment of Co-occurring Disorders, Intensive Case Management, Illness Management, and relevant Evidenced based/Emerging best practices.

Knowledge of Harm Reduction strategies.

Strong working knowledge of DSM V.

Strong knowledge of relevant community resources and methods for accessing them.

Ability to work flexible hours as required by program and staffing needs.

Ability to communicate and work effectively with staff from various backgrounds.

Ability to work effectively with diverse populations.

Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients.

PREFERRED QUALIFICATIONS:

Minimum of two years’ experience providing supervision within the mental health and/or chemical dependency field, preferred.

Minimum of two years’ experience working with the homeless population with a strong understanding of the unique causes and effects that homelessness can have on clients, preferred.