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Assurance Manager Salary in Billings, MT

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Crisis Assessment Counselor (.9) - Community Crisis Center
Billings Clinic, Billings
Works independently and according to established policies and procedures to provide assessments and referrals to clients presenting directly to the Community Crisis Center (CCC). Counselor determines if the client is in need of being admitted for crisis stabilization services and further develops a stabilization plan for within the facility and upon discharge from our care. Clients present with complex medical, mental health, substance abuse, social service needs and psychosocial needs. Collaborates with the local hospitals and CCC team on the diagnosis, symptoms and lethality. Contributes psychosocial information to the RN, MHW (Mental Health Worker), Discharge Coordinator/Case Manager and LAC (Licensed Addictions Counselor) in developing the continuum of care. Coordinates referrals to community and mental health services as needed. May need to transfer clients to a higher level of care for mental health emergencies or for medical needs. Essential Job Functions• Assessment and Interventions • Assess the client and gathers appropriate information to assist in the determination of a diagnosis and assess the need to admit a client to our stabilization services or refer to Billings Clinic for a higher level of Psychiatric care or refer to community shelter care. Responds to telephone crisis calls and to referrals from the Social Workers or Psychiatric Assessment Clinicians from Billings Clinic. • In collaboration with the CCC Team members evaluates, plans, organizes, implements, and documents safe therapeutic client care consistent with Crisis Center values/goals and Billings Clinic departmental policies and procedures and those of the CCC also. Consideration will be given to cultural diversity needs and the appropriateness of care based on the age of the patient. • On rare occasion, may provide collateral information to assist Billings Clinic with involuntary detention and commitment to assure compliance with state laws and Billings Clinic policies and procedures. • Uses interviews and client record reviews to identify environmental impediments to client progress and develop plans to resolve. • Utilizes performance improvement principles to assess and improve the quality of client care. • Develops collaborative relationships with Social Workers, PAC Workers and Care Management persons from Billings Clinic. Also works closely with the CCC team of mental health professionals to provide the best care possible. • Interviews clients and their support systems, when applicable, in order to set proper goals and minimize anxieties and maximize cooperation. . • Care Coordination • Demonstrates positive, supportive, and caring behaviors in communication with clients, families, visitors, physicians, staff, and others. • Helps clients cope, accept and adjust to issues related to mental health and substance use/abuse. • Reviews the client record to identify environmental impediments • to client progress and works with team members to resolve. • Interacts with the clients, support systems, healthcare professionals, and community and state agencies and serves as a liaison between the CCC and community agencies facilitates the exchange of information. • Discusses goals and stabilization plans with clients and support system to maximize compliance in meeting the goals • Performs duties to support CCC's goals and objectives in its effort to provide the least restrictive care in the most cost-effective system of care. Will only transfer to a higher level of care when the client is not appropriately served within our facility or when the client will not agree to stay voluntarily in our facility • Maintains basic knowledge regarding billing for insurance benefit • reimbursement. Completes all client billing sheets in a correct • and timely manner to ensure reimbursements. • Evaluation • Coordinates with internal discharge coordinator and coordinates necessary referrals to ensure services are in place. Provides the paperwork in a timely manner for the discharge coordinator. Monitors the need for revisions in the stabilization plans and makes recommendations to the RNs, LACs, MHWs and other counselors when indicated. Modifies stabilization plans to comply with changes in a client's situation or needs. • Assists with internal auditing by completing peer counselor chart audits as directed by the CCC Supervisor. Will also comply with any necessary corrections on his/her own charts if there are corrections warranted. • Documentation • Monitors the need for revisions in a client's goal and works with other CCC counselors to modify goals and ensure the client can comply with care that is consistent with their current stage of change. Provides documentation and justification when a client goal is modified. Documentation will be timely, reflect professional practice and consistent with CCC policy. • Safety/Quality Assurance/Risk Management • Takes a lead role in debriefing crisis situations within the CCC • when an extremely stressful incident has occurred with the CCC clients, employees and security • Maintains competency in departmental policies and process that are relevant to the performance of the counseling position. • Identifies and anticipates problems and safety issues and initiates appropriate action. Maintains competency in all organizational, departmental and outside agency environmental, employee or client safety standards relevant to job performance • Professional Accountabilities • Takes responsibility for the identification of own professional growth and development needs; meets all system/departmental educational requirements. • Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, mental health ethics, disaster protocols, and safety. • Performs other duties as assigned or needed to meet the needs of the department/organization. • Demonstrates the ability to be flexible, open minded and adaptable to change
Crisis Assessment Counselor (.6 FTE) - Community Crisis Center
Billings Clinic, Billings
Works independently and according to established policies and procedures to provide assessments and referrals to clients presenting directly to the Community Crisis Center (CCC). Counselor determines if the client is in need of being admitted for crisis stabilization services and further develops a stabilization plan for within the facility and upon discharge from our care. Clients present with complex medical, mental health, substance abuse, social service needs and psychosocial needs. Collaborates with the local hospitals and CCC team on the diagnosis, symptoms and lethality. Contributes psychosocial information to the RN, MHW (Mental Health Worker), Discharge Coordinator/Case Manager and LAC (Licensed Addictions Counselor) in developing the continuum of care. Coordinates referrals to community and mental health services as needed. May need to transfer clients to a higher level of care for mental health emergencies or for medical needs. Essential Job Functions• Assessment and Interventions • Assess the client and gathers appropriate information to assist in the determination of a diagnosis and assess the need to admit a client to our stabilization services or refer to Billings Clinic for a higher level of Psychiatric care or refer to community shelter care. Responds to telephone crisis calls and to referrals from the Social Workers or Psychiatric Assessment Clinicians from Billings Clinic. • In collaboration with the CCC Team members evaluates, plans, organizes, implements, and documents safe therapeutic client care consistent with Crisis Center values/goals and Billings Clinic departmental policies and procedures and those of the CCC also. Consideration will be given to cultural diversity needs and the appropriateness of care based on the age of the patient. • On rare occasion, may provide collateral information to assist Billings Clinic with involuntary detention and commitment to assure compliance with state laws and Billings Clinic policies and procedures. • Uses interviews and client record reviews to identify environmental impediments to client progress and develop plans to resolve. • Utilizes performance improvement principles to assess and improve the quality of client care. • Develops collaborative relationships with Social Workers, PAC Workers and Care Management persons from Billings Clinic. Also works closely with the CCC team of mental health professionals to provide the best care possible. • Interviews clients and their support systems, when applicable, in order to set proper goals and minimize anxieties and maximize cooperation. . • Care Coordination • Demonstrates positive, supportive, and caring behaviors in communication with clients, families, visitors, physicians, staff, and others. • Helps clients cope, accept and adjust to issues related to mental health and substance use/abuse. • Reviews the client record to identify environmental impediments • to client progress and works with team members to resolve. • Interacts with the clients, support systems, healthcare professionals, and community and state agencies and serves as a liaison between the CCC and community agencies facilitates the exchange of information. • Discusses goals and stabilization plans with clients and support system to maximize compliance in meeting the goals • Performs duties to support CCC's goals and objectives in its effort to provide the least restrictive care in the most cost-effective system of care. Will only transfer to a higher level of care when the client is not appropriately served within our facility or when the client will not agree to stay voluntarily in our facility • Maintains basic knowledge regarding billing for insurance benefit • reimbursement. Completes all client billing sheets in a correct • and timely manner to ensure reimbursements. • Evaluation • Coordinates with internal discharge coordinator and coordinates necessary referrals to ensure services are in place. Provides the paperwork in a timely manner for the discharge coordinator. Monitors the need for revisions in the stabilization plans and makes recommendations to the RNs, LACs, MHWs and other counselors when indicated. Modifies stabilization plans to comply with changes in a client's situation or needs. • Assists with internal auditing by completing peer counselor chart audits as directed by the CCC Supervisor. Will also comply with any necessary corrections on his/her own charts if there are corrections warranted. • Documentation • Monitors the need for revisions in a client's goal and works with other CCC counselors to modify goals and ensure the client can comply with care that is consistent with their current stage of change. Provides documentation and justification when a client goal is modified. Documentation will be timely, reflect professional practice and consistent with CCC policy. • Safety/Quality Assurance/Risk Management • Takes a lead role in debriefing crisis situations within the CCC • when an extremely stressful incident has occurred with the CCC clients, employees and security • Maintains competency in departmental policies and process that are relevant to the performance of the counseling position. • Identifies and anticipates problems and safety issues and initiates appropriate action. Maintains competency in all organizational, departmental and outside agency environmental, employee or client safety standards relevant to job performance • Professional Accountabilities • Takes responsibility for the identification of own professional growth and development needs; meets all system/departmental educational requirements. • Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, mental health ethics, disaster protocols, and safety. • Performs other duties as assigned or needed to meet the needs of the department/organization. • Demonstrates the ability to be flexible, open minded and adaptable to change
RN Care Manager - Inpatient
Billings Clinic, Billings
May be eligible for $3,000 sign on incentiveMay be eligible for relocation assistanceMay be eligible for tuition loan reimbursementUnder the direction of department leadership, the Care Manager provides services consisting of comprehensive care management, care coordination and care continuing care services. The Care Manager is accountable for a designated patient caseload/population and plans effectively in order to meet patient needs. The Care Manager is a support to providers and the multidisciplinary in facilitating patient care. The Care Manager strives to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Conducts initial and ongoing assessments and chart reviews of each assigned patient to identify potential and or actual barriers and care needs.Proactively screens and assesses the acuity and transitional needs of each assigned patient.Engages and collaborates with patients, support systems and the multidisciplinary/healthcare team to establish a plan of care that addresses the mutually identified needs of the patient.• Interventions and Care Coordination• Demonstrates the ability to interpret clinical information and understand health care treatment and systems.• Supports patients to ensure they can function to the best of their ability and maintain optimal health related to their medical condition(s). Identifies and addresses gaps in knowledge/understanding/education related to disease management.• Participates in the patient's plan of care by interacting/collaborating with patients, support systems, healthcare professionals and community and state agencies. Serves as a liaison between hospital, clinic and community agencies to facilitate the exchange of clinical and referral information.• Identifies high-risk patients through risk stratification tools and ongoing assessments including ED utilization and hospitalizations to address the medical/psychosocial/financial needs of patients and their support systems in both hospital and ambulatory settings.• Reinforces goals of care and treatment plans with patients and support systems in order to enhance patient and support system engagement.• Coordinates care conferences to support effective communication as needed.• Helps navigate the patient throughout the continuum of care.• Effectively collaborates and coordinates care with the Social Services Care Manager.• Maintains current knowledge of community resources and ancillary clinical services to meet the needs of hospital, clinic and regional customers.• Provides information about available resources to patients and their support systems.• Partners with the multidisciplinary/healthcare team and the Social Services Care Manager to guide/advocate placement to the appropriate Acute rehab, LTACH, SNF, long-term care facility, assisted living facility, or Home Health Care, in-home services, hospice, ancillary OP services and/or DME as clinically appropriate.• Acts as a clinical resource to the Social Services Care Manager.• Understands consultative disciplines and their role in patient care.• Maintains respectful and professional communication skills.• Insurance and Utilization Management • Maintains working knowledge of CMS requirements and readmission penalties. • Maintains working knowledge of insurance/payer benefits.• Evaluation• Monitors the need for revisions in the plan of care and makes recommendations to the multidisciplinary/healthcare team when indicated. Modifies the plan of care/goals to reflect changes in patient or their support system status and needs.• Monitors, evaluates and documents patient progress related to plan of care.• Documentation• Documents accurately and in a timely manner in the Electronic Medical Record per program guidelines.• Utilizes standards of professional practice in all documentation and communication consistent with organization/department policy as well as the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.• Documentation and patient information shall be secured and maintained in accordance with Billings Clinic policy, HIPPA, state and federal guidelines.• Safety/Quality Assurance/Risk Management• Identifies service gaps and participates in hospital and department programs to address and improve quality of care.• Advocates for marginalized or vulnerable populations by identifying cases of abuse and neglect and appropriately involving risk management and regulatory agencies.• Professional Accountabilities• Participates in continuing education, department planning, work teams and process improvement activities.• Maintains current Licensure.• Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advance directives, disaster protocols and safety.• Demonstrates the ability to be flexible, open minded and adaptable to change.• Maintains competency in organizational and departmental policies/processes relevant to job performance.• Utilizes standards of professional practice in all communication with patients, support systems and colleagues consistent with the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.• Inpatient Care Management Specific• Collaborates with post-acute services, Ambulatory Care Managers and PCP's to ensure successful transition back to the home environment. Makes appropriate Ambulatory Care Management referrals. Anticipates those patients who may require more support after hospital discharge and communicates these concerns.• Utilizes length of hospital stay, past utilization of resources and risk stratification to identify patients at high risk for readmission.• Interfaces effectively with the Utilization Review department to stay current on patient's eligibility for admission, continuing stay, or readiness for discharge.• Communicates with medical staff, coordination team and nursing staff regarding appropriateness of admission, need for continued stay and discharge plans.• Identifies and records episodes of avoidable days.• Evaluates the appropriateness of care delivery in the inpatient setting and communicates any discrepancies with the medical team.• In addition to the above Care Managers in the Emergency Department will also be responsible for the following duties:• Screens ED admissions using established criteria for specific payer populations• Understands insurance/payer policy language, benefits and authorization requirements for admission• Discuss payor criteria and issues on a case-by-case basis with clinical staffEnsures that the patient is in the appropriate "status" and level of care for the clinical condition. Utilizing screening criteria and physician advisor, per department standards• Outpatient Care Management Specific• Receives referrals on patients being seen in the clinic (Primary Care, SDC, specialty office, ancillary departments). Coordinates services for medical and non-medical care coordination needs that are episodic or longitudinal.• Receives referrals for elective procedure patients who would benefit from pre-discharge planning assessments and resource coordination.• Assists patients through care transitions from hospital to home, SNF to home/assisted living, or alternate setting per program guidelines.• Manages a panel of high-risk patients that require longitudinal education and support.• Effectively collaborates with Inpatient Care Managers and Social Service Care Managers to address the needs of shared patients.• Able to function effectively as a part of a team. Utilizing shared knowledge to address complex patient needs.• Supports Billings Clinic and community-based programs to advance the role of Outpatient Care Management, strengthen partnerships and meet department and patient needs.
Construction Materials Technician - Billings, MT
Tetra Tech, Inc., Billings
Discover your full potential. At Tetra Tech, we are collaborating with industry-leading experts for a sustainable future for our world. We combine consulting and engineering with advanced analytics and technology to solve the world's most complex challenges. Our innovation hubs across the globe will enable you to share ideas and best practices while growing your professional network. Wherever you are in your career journey, you will benefit from working with world-class engineers, scientists, and technical specialists.Apply today and join the company that is Leading with Science.Summary:Tetra Tech's AASHTO accredited laboratory and field testing and inspection program has a wide range of equipment, facilities, and staff to support engineering design and construction quality control. Our laboratories conduct testing for soil, rock, and construction materials that range from common index tests or sophisticated triaxial shear, permeability, and consolidation tests. Field testing and inspection projects include airport terminals and runways, dam and spillway construction, all sizes of commercial construction, and civil infrastructure. Technicians and inspectors are certified by ACI, MDT, WAQTC, AWS and other appropriate agencies.The Construction Materials Testing Technician will complete field and laboratory testing, observations, and inspection of construction materials over a variety of construction types including but not limited to civil and structural. Materials commonly tested and inspected for quality include soils, aggregates, concrete, masonry, asphalt, bolting/welding, wood, spray applied fireproofing and others.Your Role: Performs work as directed in accordance with training and specified ASTM, AASHTO, MDT, MPWSS, County, City etc. procedures. Communicate testing, observation, and inspection results to Tetra Tech project manager, client quality assurance representative, contractor quality control representative, and others as required. Follow designated chain of custody processes to collect and transport material specimen to laboratory for analysis. Maintains Tetra Tech internal and accredited quality standards including training, equipment calibrations, equipment maintenance, and reporting. Use reporting software to create clear, accurate, and well written reports for submittal and review by designated Tetra Tech senior staff. Some overtime and weekend work required. Follow and adhere to all Tetra Tech safety guidelines and standards. Other duties as assigned. Qualifications: High School diploma or equivalent required. A degree in Engineering Technology, Construction Management or similar is preferred, but will train the right candidate with a background in the construction industry. Minimum 1 to 2 years of relevant or related experience. Must have strong mathematical aptitude. Must be able to read, write and communicate in English. Computer skills in Microsoft office suite, especially Excel. A strong candidate will have one more current ACI, WAQTC, AWS, or CWI certifications. Ability to travel and perform field work (approximately 25% or more travel required). Ability to lift, carry, push, and pull equipment weighing up to 60lbs. A Pre-employment drug screening in compliance with state regulations is required. Must possess a valid driver's license with a clean driving record without restrictions. Target salary range: $20.00 / hour to $24.00 / hour. The estimate displayed represents the typical salary range for this position based on experience and other factors.About Tetra Tech:At Tetra Tech, health and safety play a vital role in our success. Tetra Tech's employees work together to comply with all applicable health & safety practices and protocols, including health orders and regulations related to COVID-19 that are mandated by local, state and federal authorities.Tetra Tech offers the following optional benefits: Medical, Dental, Vision, Prescription, Accidental Death & Dismemberment, Long & Short-Term Disability, Health & Dependent Care Flexible Spending. Financial Benefits: Group Term Life, Optional Group Term Life Insurance, Business Travel Accident Insurance, Health Savings Account, 401K, Employee Stock Purchase Plan, Time Off with Pay, Employee Assistance Program, Adoption Assistance, Leaves of Absence.Tetra Tech combines the resources of a global, multibillion-dollar company with local, client-focused delivery in more than 550 locations around the world. Our reputation rests on the technical expertise and dedication of our employees27,000 associates working together to provide smart, scalable solutions for challenging projects. We are proud to be home to leading technical experts in water, environment, infrastructure, resource management, energy, and international development.Explore our open positions at https://www.tetratech.com/careers . Follow us on social media to learn more about our people, culture, and opportunities:LinkedIn: @TetraTechCareersTwitter: @TetraTechJobsFacebook: @TetraTechCareersTetra Tech is proud to be an Equal Opportunity Employer. Diversity, inclusion, and equity are among Tetra Tech's core values. Throughout our history, the company has prioritized equitable inclusion of all people. All qualified candidates will be considered without regard to race, color, religion, national origin, military or veteran status, gender, age, disabilities, sexual orientation, gender identity, pregnancy and pregnancy-related conditions, genetic information and any other characteristics protected by the law. We invite resumes from all interested parties. Please visit our website at www.tetratech.com to see the array of diverse services and exciting projects we are currently working on.Tetra Tech is a VEVRAA federal contractor, and we request priority referral of veterans for available positions.We thank all applicants for their interest, however, only those candidates selected for interviews will be contacted.Please no phone calls or agencies.Additional Information Organization: 117 ECS