Clinician

• Provide telemedicine-based treatment of perinatal mood disorders for pregnant and postpartum patients
• Conduct 1:1 patient encounters, with potential group patient therapy options in the future
• Provide live and asynchronous patient support
• Utilize evidence-based techniques proven effective and safe in the perinatal space
• Apply technology to improve patient education and outcomes
• Build systems and processes to provide safe, effective care and improve engagement with the patient population
• Participate in intermittent phone and video meetings with Delfina Medical Group

Mental Health, Behavior Health Clinician

• Collaborate with physicians to evaluate patients’ needs for prosthetic and/or orthotic services and recommend treatment options
• Examine and evaluate patient needs related to disease and functional loss
• Formulate designs for prosthetic and/or orthotic devices
• Select materials, take cast measurements, perform model modifications and layouts
• Perform fitting, including static and dynamic alignments
• Evaluate devices on patients and adjust for fit, function, medical efficacy and quality
• Instruct patients in use of prosthetic and/or orthotic devices
• Identify and reconcile device issues to ensure patient satisfaction
• Provide follow-up with patients and physicians
• Provide in-service training to physicians and allied health professionals
• Manage materials, quality and performance processes to maximize device quality and medical efficacy
• Meet with physicians, case managers and referral sources to review services and develop business relationships
• Plan and implement strategies to meet or exceed revenue targets with management
• Provide detailed clinical notes to patient records
• Mentor residents or newly certified clinicians as needed
• Assist other clinical staff
• Provide information to administrative staff for reimbursement activities
• Follow safety, Medicare, governmental, bloodborne pathogen and OSHA requirements
• Perform other duties or special projects as assigned
• May perform on-call or hospital calls, or float between Hanger Clinic locations

Prosthetist and/or Orthotist Clinician, CPO, CO

• Perform clinical reviews and assess care related to mental health and substance abuse
• Monitor and determine whether levels of care and services are medically appropriate
• Evaluate members’ treatment before, during, and after services
• Perform prior authorization reviews in accordance with regulatory guidelines and criteria
• Perform concurrent review of behavioral health inpatient care, including treatment needs and discharge planning
• Analyze behavioral health member data to improve quality and appropriate utilization
• Educate providers, members, and families regarding the behavioral health utilization process
• Discuss levels of care and services with behavioral health healthcare providers
• Engage medical directors and leadership to improve care quality and efficiency
• Formulate and present cases in staffing and integrated rounds
• Comply with all policies and standards
• Perform other duties as assigned

Utilization Review Clinician – Behavioral Health

• Facilitate client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation
• Collect and assess patient information to develop comprehensive, individualized care management plans
• Promote appropriate utilization and cost-effective care and services
• Link clients with appropriate providers and resources across health and human services and care settings
• Ensure care is safe, effective, client-centered, timely, efficient, and equitable
• Communicate with clients, payers, primary care providers, and other service professionals
• Maintain client privacy, confidentiality, health, and safety in accordance with applicable standards and regulations
• Answer medical or contract interpretation questions from internal departments, physicians, and providers
• Assist employers and agents with healthcare resource and procedure questions
• Use evidence-based tools and lean methodologies for continuous improvement
• Meet department and company performance and attendance expectations
• Follow PacificSource privacy policy and HIPAA requirements
• Perform other duties as assigned

Care Management Clinician

• Facilitate client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation
• Collect and assess patient information to develop comprehensive, individualized care management plans
• Promote appropriate utilization and cost-effective care and services
• Link clients with appropriate providers and resources throughout health and human services and care settings
• Ensure care is safe, effective, client-centered, timely, efficient, and equitable
• Communicate with clients, payers, primary care providers, and other service delivery professionals
• Maintain client privacy, confidentiality, health, and safety through advocacy and adherence to applicable standards and regulations
• Provide quality customer service to PacificSource personnel
• Serve as an internal resource for medical or contract interpretation questions
• Assist employers and agents with healthcare resource and procedure questions
• Use effective written and verbal communication
• Utilize and promote evidence-based tools
• Utilize lean methodologies for continuous improvement
• Meet department and company performance and attendance expectations
• Follow PacificSource privacy policy and HIPAA laws and regulations
• Perform other duties as assigned