Jeff Daninger
Um @Molina Healthcare
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WORK HISTORY
Um @Molina Healthcare
Seattle, WA, US
Assesses inpatient and residential behavioral health services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.Analyzes clinical service requests from providers against evidence based clinical guidelines.Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed.Processes requests within required timelines.Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner.Requests additional information from members or providers in consistent and efficient manner.Makes appropriate referrals to other clinical programs.Collaborates with multidisciplinary teams to promote Molina Care Model.
EDUCATION
University of Phoenix
Masters, Marriage and Family Therapy/Counseling
Metro State University
Bachelor's degree, Philosophy
SKILLS
ABOUT JEFF DANINGER
Experienced Service Manager with a demonstrated history of working in health care…
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