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Opioid Abuse Prevention Project

Working in partnership with the Alabama Sports Medicine Association, Alabama Fusion Center, High Intensity Drug Tracking Area prog...

Posted 1 week ago

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Utilization Manager

New Directions Behavioral Health Birmingham AL, 35202

ESSENTIAL FUNCTIONS: * Provides utilization review activities for all levels of behavioral health care, including inpatient, resi...

Posted 3 days ago

ESSENTIAL FUNCTIONS: * Provides utilization review activities for all levels of behavioral health care, including inpatient, residential, partial hospitalization intensive outpatient and outpatient authorization requests with contacts to facilities and providers as needed to accomplish this task * Promotes and provides quality service delivery and effective discharge planning for optimal member health outcomes * Coordinates peer review with NDBH Physician consultants on clinical cases that are not meeting the medical necessity criteria * Demonstrates clinical expertise in response to a variety of circumstances ranging from crisis intervention to routine business matters * Coordinates treatment planning creation of crisis prevention plans with treatment team as needed as part of the utilization review process * Coordinates discharge planning, including ensuring follow up appointments for member's post discharge from inpatient care within 7 days * Participates in clinical staffing and other meetings and trainings upon management request * Presents clinical cases to staff and consulting providers upon request of supervisor and as required by policies, and procedures * Utilizes appropriate and standardized tools including but not limited to NDBH approved precertification, concurrent and discharge review forms, physician review tools, authorization screen, and other application and tools * Completes appropriate documentation in clinical systems in compliance with regulatory and accreditation standards * Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and New Directions services, policies and procedures and criteria * Coordinates consultations with member's provider, family and NDBH Physician consultants on clinical cases when necessary and appropriate to facilitate care and progress * Stays current with New Directions' technology, member Behavioral Health benefits, and non-health community resources * Provides follow-up and support calls to members and providers as needed and as assigned by Manager/Supervisor * Makes recommendations of programs and/or systems that create improved outcomes and timeliness of the utilization management department * Contributes to site specific audits/surveys/research projects that are relevant to care management process, policies, and procedures * Participates in on-going continuing education as required by professional licensure, certification, or as requested by New Directions and maintains clinical licensure and certifications * Participates in special committees or projects for program development as assigned by Manager/Supervisor EDUCATION & EXPERIENCE REQUIRED * Has a current, unrestricted license issued by a state or territory of the United States to practice independently as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist or Registered Nurse in the state in which the business operation is located and/or other states as required by law, regulation or contract * Minimum of 3-5 years of direct clinical care experience with patients in facility-based and/or outpatient psychiatric or chemical dependency treatment; Preferred minimum of five (5) years post-licensure experience in direct clinical care with patients in facility-based and/or outpatient psychiatric or chemical dependence treatment * Strong clinical skills; Preferred previous experience in Utilization Review * Excellent verbal and written communication and interpersonal skills * Strong computer and keyboarding skills (Microsoft Outlook and Word), including the ability to document while simultaneously while taking information over the phone * Ability to comprehend medical policy and criteria to clearly articulate health information * Valid driver's license and proof of insurance mandatory for positions which require driving * Preferred experience as a Registered Nurse, a Bachelor's Degree in Nursing * Preferred experience and training in Motivational Interviewing

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Operations Team Member. - Jefferson County Jail - Jefferson Al.

TKC Holdings Birmingham AL, 35202

Keefe Group, through its affiliates Keefe Supply Company, Keefe Commissary Network (KCN) and Access Securepak, is the nation's lea...

Posted 7 days ago

Keefe Group, through its affiliates Keefe Supply Company, Keefe Commissary Network (KCN) and Access Securepak, is the nation's leading supplier of food, personal care products, electronics and clothing to the correctional commissary market. An industry leader since 1975, Keefe has pioneered the evolution of products and packaging to fit the unique requirements of commissaries nationwide. GENERAL PURPOSE OF THE JOB: Assist in providing commissary operations and services to assigned KCN Commissary location ESSENTIAL DUTIES AND RESPONSIBILITIES: * Deliver individually packaged orders to inmates at specified correctional facilities with the supervision of a correctional officer in a timely and efficient manner including but not limited to * Positively identify the inmate * Obtain signature of inmate on 2 ply order receipt * Forward 2nd copy of order receipt back to inmate * Note any and all discrepancies or damages on both copies of order receipt * Retain signed copy of order receipt * Retain and dispose of all plastic bags and trash generated in process * Account for all signed receipts * Responsible for sending required information and reports, including timesheets, to Regional Distribution Center. * Maintain all KCN areas/equipment/products in a neat, clean, and orderly manner and maintain American Correctional Association & American Jail Association standards/guidelines when applicable. * Attend orientation and training, annual on-site security classes and remain current in certifications as required by the Facility. * Follow all the policies and procedures outlined in the KCN Best Business Practices Guide at all times. * Complete miscellaneous duties assigned by KCN Commissary Manager. QUALIFICATIONS: * High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience. * Must be a self-starter who can work well with people in a correctional facility in a professional, upbeat manner. * Ability to work in a correctional environment. * Ability to work well with ever changing priorities and or situations. * Ability to lift up to 50lbs. * Must qualify for correctional facility security clearance. * Must pass drug screening test. * Must pass background check. * Familiarity with computers (including Microsoft Office programs) preferred. We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. #TSG

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Route Delivery Driver

Iron Mountain Incorporated Birmingham AL, 35202

About Iron Mountain Founded in 1951, Iron Mountain Incorporated (NYSE: IRM) is the global leader in storage and information man...

Posted 1 week ago

About Iron Mountain Founded in 1951, Iron Mountain Incorporated (NYSE: IRM) is the global leader in storage and information management services. Iron Mountain is committed to storing, managing and transforming what our customers value most, from paper records to data to priceless works of art and culture. Providing a full suite of solutions – records and information management, data management, digital solutions, data centers and secure destruction – Iron Mountain enables organizations to lower storage costs, comply with regulations, recover from disaster, and protect their data and assets from a complex world. Visit the company website at www.ironmountain.com for more information. Iron Mountain enables 94% of the Fortune 1000 to smartly and securely manage their physical and digital information assets. With unmatched innovation and collaboration, our teams create information management solutions for our customers’ data, no matter what format, location or lifecycle stage it’s in and no matter where it’s kept. We are more than 17,000 people strong and growing. We’ve been a trusted records management leader since 1951. Iron Mountain is an equal opportunity employer, and does not unlawfully discriminate on the basis of race, color, religion, sex, national origin, marital status, age, sexual orientation, gender identity characteristics or expression, disability, medical condition, U.S. Military or veteran status or other legally protected classifications in making employment decisions. Iron Mountain Canada is an employer broadly committed to providing an inclusive work environment that welcomes all people. Globally, we believe it is our diversity that contributes to our companies’ shared success. We work hard always to avoid discriminating on any grounds other than capability to perform the requirements of the job. Iron Mountain complies with the Accessibility for Ontarians with Disabilities Act and welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process. Job Description Our drivers are the public face of Iron Mountain, trusted to transport and handle client materials and engage with clients and co-workers in a friendly and professional manner. Drivers are responsible for driving a company vehicle to transport materials from client and Iron Mountain locations; loading and unloading through a variety of mechanisms; using wireless scanning technology; preparing paperwork and performing daily vehicle maintenance to ensure it functions efficiently. This position calls for a significant amount of physical strength and stamina. We pay by the hour, not the mile. + Communicates in a friendly professional manner with clients and co-workers + Operates and maintains company vehicle safely and efficiently, whether manual or standard transmission + Handles all physical requirements for loading, transporting and driving without assistance (details below) + Executes accurate and timely handling of client delivery requests + Prepares accurate paperwork and records Job Requirements + Climb/step-up into a truck cab + Grip, lift, push, pull, and carry wheeled, plastic bins over, up and down inclines, stairs, changes in walking surfaces and elevations + Lift at least 70 lbs. + Walk, stand and sit for extended periods of time + Must be at least 21 years old with a valid driver’s license and a good driving record + Be able to pass a pre-employment substance abuse screening, a background check and a DOT physical + Demonstrate safe and efficient driving skills + At least one year of route transportation experience is preferred + Computer proficiency + Attention to detail and accuracy in paperwork + Strong customer service and verbal communication skills + Commitment to adhere and enforce all security procedures Compliance Obligations: It is the responsibility of every Iron Mountain employee: + to comply with all applicable laws, rules, regulations, and company policies + to exhibit ethical behavior in accordance with our Code of Ethics and Business Conduct + to complete required training within the allotted time frame Requisition # _2018-19732_ Category _Transportation_ Type _Full-Time_

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Route Delivery Driver

Iron Mountain Birmingham AL, 35202

About Iron Mountain Founded in 1951, Iron Mountain Incorporated (NYSE: IRM) is the global leader in storage and information man...

Posted 1 week ago

About Iron Mountain Founded in 1951, Iron Mountain Incorporated (NYSE: IRM) is the global leader in storage and information management services. Iron Mountain is committed to storing, managing and transforming what our customers value most, from paper records to data to priceless works of art and culture. Providing a full suite of solutions – records and information management, data management, digital solutions, data centers and secure destruction – Iron Mountain enables organizations to lower storage costs, comply with regulations, recover from disaster, and protect their data and assets from a complex world. Visit the company website at www.ironmountain.com for more information. Iron Mountain enables 94% of the Fortune 1000 to smartly and securely manage their physical and digital information assets. With unmatched innovation and collaboration, our teams create information management solutions for our customers' data, no matter what format, location or lifecycle stage it's in and no matter where it's kept. We are more than 17,000 people strong and growing. We've been a trusted records management leader since 1951. Iron Mountain is an equal opportunity employer, and does not unlawfully discriminate on the basis of race, color, religion, sex, national origin, marital status, age, sexual orientation, gender identity characteristics or expression, disability, medical condition, U.S. Military or veteran status or other legally protected classifications in making employment decisions. Iron Mountain Canada is an employer broadly committed to providing an inclusive work environment that welcomes all people. Globally, we believe it is our diversity that contributes to our companies' shared success. We work hard always to avoid discriminating on any grounds other than capability to perform the requirements of the job. Iron Mountain complies with the Accessibility for Ontarians with Disabilities Act and welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process. Job Description Our drivers are the public face of Iron Mountain, trusted to transport and handle client materials and engage with clients and co-workers in a friendly and professional manner. Drivers are responsible for driving a company vehicle to transport materials from client and Iron Mountain locations; loading and unloading through a variety of mechanisms; using wireless scanning technology; preparing paperwork and performing daily vehicle maintenance to ensure it functions efficiently. This position calls for a significant amount of physical strength and stamina. We pay by the hour, not the mile. * Communicates in a friendly professional manner with clients and co-workers * Operates and maintains company vehicle safely and efficiently, whether manual or standard transmission * Handles all physical requirements for loading, transporting and driving without assistance (details below) * Executes accurate and timely handling of client delivery requests * Prepares accurate paperwork and records Job Requirements * Climb/step-up into a truck cab * Grip, lift, push, pull, and carry wheeled, plastic bins over, up and down inclines, stairs, changes in walking surfaces and elevations * Lift at least 70 lbs. * Walk, stand and sit for extended periods of time * Must be at least 21 years old with a valid driver's license and a good driving record * Be able to pass a pre-employment substance abuse screening, a background check and a DOT physical * Demonstrate safe and efficient driving skills * At least one year of route transportation experience is preferred * Computer proficiency * Attention to detail and accuracy in paperwork * Strong customer service and verbal communication skills * Commitment to adhere and enforce all security procedures Compliance Obligations: It is the responsibility of every Iron Mountain employee: * to comply with all applicable laws, rules, regulations, and company policies * to exhibit ethical behavior in accordance with our Code of Ethics and Business Conduct * to complete required training within the allotted time frame Requisition # 2018-19732 Category Transportation Type Full-Time

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Automation Technician I (Cog-2019-313)

Concho Resources Gardendale AL, 35071

Title Automation Technician I Location Midland, TX Job Summary * Provide support for installation and maintenance of ...

Posted 2 weeks ago

Title Automation Technician I Location Midland, TX Job Summary * Provide support for installation and maintenance of automation and communications systems on company production facilities. * Troubleshoot instruments, wiring, and PLC installations. * Identify process issues through evaluation of automation data. * Support and enforce EH&S initiatives; responsible for safe and environmentally friendly production operations * Interface with Midland office personnel–engineering, regulatory, EH&S, etc.; promote teamwork & efficiency when working with these groups * Effectively represent Company when dealing with land owners and other non-Company personnel Education/Experience Required * Must possess a high school diploma or GED equivalent from an accredited, state-certified program * Must possess a current, valid driver's license and the ability to meet and maintain all eligibility requirements to drive a company vehicle * Minimum of 5 years of significant and relevant work experience in electrical or automation field, Automation Technician II. * Minimum 2 years production operations experience and familiarity with automation systems, Automation Technician I. * Familiarity with PLC programming fundamentals. Allen Bradley, SCADApack, IDEC, DirectLogic preferred * Proficient in identification and troubleshooting of AC and DC circuits. * Demonstrated experience and proficiency with computer and applications * Must be able to work in the United States indefinitely Physical Requirements * Must be able to lift at least 40 pounds * Must be willing and able to drive a company-owned vehicle for extended periods of time COG Operating LLC ("Concho") uses e-Verify to confirm eligibility to work in the United States. Concho is proud to be an Equal Opportunity/Affirmative Action (EEO/AA) employer. Concho's policies are intended to ensure qualified applicants and employees are treated fairly and have equal opportunities in all aspects of employment, regardless of personal characteristics or status. We maintain a drug-free workplace and perform pre-employment substance abuse testing. NOTICE TO THIRD PARTY AGENCIES Please note that COG Operating LLC ("Concho") does not accept unsolicited resumes from recruiters or employment agencies. In the absence of a signed Recruitment Fee Agreement, COG Operating LLC ("Concho") will not consider or agree to payment of any referral compensation or recruiter fee. In the event a recruiter or agency submits a resume or candidate without a previously signed agreement, COG Operating LLC ("Concho") explicitly reserves the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of COG Operating LLC ("Concho").

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In Home Sales Expert

At&T Birmingham AL, 35202

Do you enjoy educating customers? Do you have a strong desire to connect people with technology and entertainment? If you answered...

Posted 1 week ago

Do you enjoy educating customers? Do you have a strong desire to connect people with technology and entertainment? If you answered yes, then open the door to your future! In this role, you will bring an AT&T white glove experience right into the customer's home. You'll be part of the team that walks our customers through AT&T's cutting-edge products, shows them the benefit of our advanced services, and ultimately closes the deal. We aren't just a phone company anymore and you aren't just any sales person! This could be your chance to join a company that's known for being innovative, successful, and ahead of the curve. Overall Purpose A direct sales position that generates new sales of AT&T products and services to current AT&T residential customers. Key Roles and Responsibilities Sell AT&T products and services in the residential customer's home in coordination with their DIRECTV installation. Assist residential customers with setting up new devices and applications during the home visit. Achieve sales and service objectives. Work assigned daily appointments within a specific area/territory Track and report activities through established processes and procedures. In this role you'll gain amazing benefits, including: * Salary + Commission * Use of a company car * Supportive team environment * Medical/Dental/Eye coverage * 401(k) plan * Tuition reimbursement * Paid time off * Ongoing paid training * Exciting career paths Not to mention cool perks, like: * One of our latest devices and a service plan. Using our technology, gain first-hand expertise to share with our customers. * Discounts on AT&T products and services as well as the accessories you need. That means you always have access to the coolest gadgets around. Are you ready to open the door to an amazing career with AT&T? Required Qualifications: * Sales skills * Strong customer service skills * Strong communication skills (written & oral) * Successfully complete a background check, driver's license check and substance abuse testing * A valid driver's license and good driving record * Employee must be able to work flexible hours, including evenings & weekends Desired Qualifications: * 1- 3 Years of Direct Sales Experience * Sales background in television, wireless or other telecommunication products * AT&T product knowledge Job ID 1857576-1 Date posted 12/03/2018

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Homemaker - (Caregiver)

Country And Columbia Cottages Birmingham AL, 35202

IMMEDIATE PART-TIME OPENINGS! The Cottages are looking for genuinely compassionate, motivated individuals with a desire to provide...

Posted 2 weeks ago

IMMEDIATE PART-TIME OPENINGS! The Cottages are looking for genuinely compassionate, motivated individuals with a desire to provide excellent customer service and care for our Residents! If that describes you - Apply Today! We offer opportunity for professional growth + competitive wage + shift differential for 2nd and 3rd shift. Work your scheduled shifts and earn even more with the Attendance Bonus! ______________________________________________________________________________________________________________________________________________________ Essential FunctionsResident and Family Customer Service * Provides exceptional customer service at all times to all Residents, families, and guests. * Exemplify, at all times, the Cottage 4 A's: Ability, Attitude, Appearance, and Attendance. * Greet all visitors warmly and enthusiastically. * Seek to preserve each Resident's independence, choice, dignity and respect. Resident Service and Personal Assistance * Provide personal care and services for optimum social, health, and welfare functioning of all Residents in accordance with written Cottage policies and procedures, State and health department regulations, and Residents' Rights to include: * Responding to the pull cord system and calls for assistance as required. Assisting all Residents in the event of an emergency. * Assistance with ADL's including ambulating, transfers, bathing, toileting, dressing, grooming, meals etc. * Assist in performing, monitoring and supervision of daily personal hygiene of Residents. * Assist Residents with medications in accordance to the written policies and state and health department regulations. * Accompany Residents to scheduled appointments as directed by supervisor. * Observes Residents and notes physical conditions, attitude, and reactions, appetites, etc. and reports changes/unusual findings. * Communicates with cottage managers in reference to personal assistance services or other services needed to maintain quality of services to Residents and reports changes in Residents' physical condition as appropriate. * Assists in conducting activities and special events. * Serves Residents in the Cottage dining room in a professional, friendly manner according to established policies and procedures. Office Assistance * Answers telephones as required. * Performs assigned clerical duties. * Assists in recording of accurate records for daily activity of each Resident. Cottage Housekeeping * Properly clean Residents apartments in accordance to policy, procedures and Cottage schedule. * Launder Resident's clothing and linens in accordance to policy, procedures and Cottage schedule * Properly clean all common areas of Cottage in accordance with policy, procedures and Cottage schedule * Communicates with management any maintenance issues that required attention. General * Develops positive working relationships with Residents, families, management, and staff. * Fully understand all emergency procedures and act responsibly in the event of a fire, or other emergency. * Continues professional growth through current literature. * Recommends changes in effective use of space and equipment. Position Specific Competencies * Must provide exceptional customer service. * Must have ability to work well with others and independently. * Must have personality with which others can communicate easily. * Must be able to lift 75 pounds unassisted and 125 pounds per person in a two-person lift. * Must demonstrate proper body mechanics as required to lift or assist in a lift. Job Requirements/Qualifications * Must be able to read, write, and make simple calculations and follow both oral and written instructions. * Must have a sense of responsibility and integrity as well as overall common sense. * Sincere desire to work with the elderly and the infirmed. * Overall good physical and mental health. * Overall patient and compassionate. * Familiar with gerontology and overall view of health care delivery. * Will be regular in attendance, with the right attitude and attire. Part-Time We are a drug-free workplace. We do perform criminal background checks and substance abuse testing.

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Sales Representative

Stonemor Partners Birmingham AL, 35202

Overview SALES REPRESENTATIVE Birmingham, AL Earn a high income selling products and services everyone needs! StoneMor...

Posted 3 days ago

Overview SALES REPRESENTATIVE Birmingham, AL Earn a high income selling products and services everyone needs! StoneMor Partners, L.P. offers rewarding career opportunities within our Sales Department. We are currently seeking a Sales Counselor to join our team at Valhalla Cemetery. We are seeking compassionate, energetic, service minded individuals with integrity, who are financially ambitious and enjoy helping others. StoneMor offers structured training both in the classroom and in the field. We also provide opportunities for growth and promotion within our Company through proven leadership and sales ability. In addition to significant income potential, we also offer a competitive benefits package, including: Medical, Dental, 401k, Life, Short-Term Disability, Long-term Disability, Tuition Reimbursement & more. Click here for more benefits information! We offer to our valued sales force: * One of the highest commission rates in the industry; * Paid, structured training in the classroom and in the field; * Unlimited earning potential; * Monthly/Annual Bonuses; * Incentive Contests & Trips; * Personal satisfaction from helping others with their needs; * Flexible Schedule; * Advancement Opportunities; * Excellent Benefits. StoneMor Partners is an Equal Opportunity Employer Responsibilities Responsibilities include: * Sell StoneMor products and services to existing and potential individual customers and associations. * Provide the highest level of service by effectively responding to client/customer both during and after the sales process. * Provide at-need clients with immediate service, providing a consoling atmosphere that enable the clients to make decisions regarding recently deceased family members. * Provide options and associated costs, including advising client on financing options. * Coordinate site overviews with clients, including tours around the property. * Identify own leads and schedules presentations to meet assigned pre-need quotas. * Ensure the office is maintained in a professional manner to minimize stress to the clients. Qualifications Qualified candidates meet the following criteria: * High School diploma or equivalent. * 1+ year of sales experience. * Excellent customer service, interpersonal and verbal/written communication skills. * Compassionate and the ability to maintain composure during stressful situations. * Coachable and willingness to learn through our structured training program. * A competitive spirit, drive and self-motivation to generate revenue by selling company products. * Confidence and professionalism to interact with clients over the phone or in person. * Ability to work with clients one on one & build strong customer relationships. * Desire to set your own schedule and ability to work evening and weekend hours when necessary. * Must possess a valid state driver's license and have access to a personal vehicle. * Must be able to travel to potential clients' homes located anywhe

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Fraud Investigator-Birmingham, Alabama

New Directions Behavioral Health Birmingham AL, 35202

Responsible for the analysis of provider and member claims data, and non-clinical review of medical records pertaining to claims a...

Posted 3 days ago

Responsible for the analysis of provider and member claims data, and non-clinical review of medical records pertaining to claims audits and fraud, waste and abuse investigations. Assignments are generally of low to moderate complexity and focused primarily on documentation supporting code billed and documentation requirements, but may also involve other areas such as: compliance with applicable laws and regulations, accreditation standards, and contracts. Works under supervision of the Claims Integrity, Manager with moderate latitude for initiative and independent judgment. ESSENTIAL FUNCTIONS * Reviews and analyzes provider and facility behavioral health claims (including inpatient, residential, partial hospitalization, intensive outpatient and outpatient), associated medical records and processes related to the appropriateness of coding, documentation requirements, and health care regulations. * Conduct background research on provider and associated partners. * Collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy. * Compare to information submitted on the claims in order to determine amount and nature of billable services. * Identifies trends and possible concerns related to potential inappropriate submission of claims by providers or facilities. * Reviews and analyzes claims and medical records submitted by the provider or facility to determine appropriateness of billing and documentation. * Documents findings for each claim line with appropriate claims payment calculation in a findings spreadsheet. * Summarize findings in a written report which will be provided to management, Plan, and in certain circumstances court proceedings. * Responsible for maintaining current knowledge of coding guidelines and relevant federal and/or state regulations. * Demonstrates high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal proceedings. * Responsible for interfacing with providers regarding compliance with all federal, state, and contractual regulations and obligations. Provide clear, concise and professional provider education in verbal and written format. * Coordinates with various internal customers including Compliance, Legal, Clinical, Quality, Credentialing, Analytics and Network Operations to gather documentation pertinent to the investigation. * Maintains documentation in appropriately organized files, databases, and systems to support audit work performed, detailed conclusions, and support any resulting recommendations. * Participates in selected trainings and webinars to maintain a thorough understanding industry trends and changes. * Assists in communicating the results of audit and consulting projects via written reports and oral presentations containing descriptive, analytical, and evaluative content to management, clients, and Providers. * Maintains strict confidentiality of all provider, member, regulatory, and law enforcement sensitive information reviewed during the audit and/or investigation process. * Completes audits or other assigned work within clearly specified time frames. * Participates in on-going continuing education as required by professional licensure, certification, or as requested by New Directions. * Adheres to New Directions Behavioral Health Mission Statement, Core Values, Code of Business Conduct, and Compliance Program. * Complies with all Federal and applicable State laws and New Directions Behavioral Health Policies regarding, privacy, confidentiality, and security of health information, and other designated information. MARGINAL (NON-ESSENTIAL) FUNCTIONS None This list of duties and responsibilities is not intended to be all-inclusive and can be expanded to include other duties or responsibilities as deemed necessary. JOB SPECIFICATIONS: EDUCATION & EXPERIENCE REQUIRED * Bachelor's degree in Healthcare, Business, Computer Science, Mathematics a related field or equivalent experience. * Certified Professional Coder (CPC) or equivalent. * Medical records review and claims analysis experience. * Strong analytical & investigative skills. * Ability to comprehend medical policy and criteria to clearly articulate health information. * Experience with all healthcare coding (CPT, HCPCS, DRG, ICD-10, & Revenue Codes). * Excellent oral and written communication skills and an ability to communicate effectively with all levels of the organization. * Intuitive nature to identify investigational leads regarding fraud, waste or abuse. * Ability to work independently & as part of a productive team. * Ability to handle multiple and conflicting priorities. * Working knowledge of medical review and medical record chart audits. * Proficient in Microsoft products, specifically Excel. PREFERRED * Master's degree in Healthcare, Business, Computer Science, Mathematics a related field or equivalent experience. * 2+ years healthcare claims/reimbursement experience. * 2+ years related experience in healthcare, fraud investigations, managed care, or a related field. * Experience in working with outpatient and/or facility behavioral health providers. * Proficient with all healthcare coding (CPT, HCPCS, DRG, ICD-10, & Revenue Codes). * Familiar with healthcare claim adjudication standards & procedures. * Experience with SQL, Tableau or fraud analytics software. * Accredited Healthcare Fraud Investigator, Certified Fraud Examiner, Certified Insurance Fraud Investigator, Certified Public Accountant, Certified Internal Auditor, Certified Compliance Professional, or other similar licensure/certification

Opioid Abuse Prevention Project

Utilization Manager

Operations Team Member. - Jefferson County Jail - Jefferson Al.

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Route Delivery Driver

Route Delivery Driver

Automation Technician I (Cog-2019-313)

In Home Sales Expert

Homemaker - (Caregiver)

Sales Representative

Fraud Investigator-Birmingham, Alabama

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Opioid Abuse Prevention Project

Utilization Manager

Operations Team Member. - Jefferson County Jail - Jefferson Al.

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Route Delivery Driver

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Automation Technician I (Cog-2019-313)

In Home Sales Expert

Homemaker - (Caregiver)

Sales Representative

Fraud Investigator-Birmingham, Alabama

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