- Monte Nido (Miami, FL)
- …providing the opportunity for people to realize their healthy selves. **Utilization Review Clinician ** **Monte Nido** **Remote** **Monte Nido has been delivering ... an intimate home setting. We are seeking a Utilization Review Clinician to join our team based...discharge, retrospective, facilitating peer to peer reviews, and written appeals . + Engage in clinical rounds as… more
- State of Colorado (Sterling, CO)
- …Social Worker/Counselor III Mental Health Clinician /Gender Affirming Care - (STERLING) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5054592) ... Apply CDOC Social Worker/Counselor III Mental Health Clinician /Gender Affirming Care - (STERLING) Salary $6,885.00 -...for inmates experiencing acute mental health crisis. * Renders clinical direction to non- clinical staff in mental… more
- City and County of San Francisco (San Francisco, CA)
- …and + May perform Quality Improvement activities such as chart audit and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties ... Francisco continuously accepts applications for all permanent Senior Behavioral Health Clinician 2932 positions. Rather than publishing separate job ads for every… more
- State of Colorado (Denver, CO)
- Mental Health Clinician I - Colorado Mental Health Hospital in Fort Logan Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4984928) Apply ... Mental Health Clinician I - Colorado Mental Health Hospital in Fort...addresses safety violations in patient care areas. Using therapeutic clinical skills, anticipates and initiates intervention at an appropriate… more
- City and County of San Francisco (San Francisco, CA)
- …of San Francisco continuously accepts applications for all permanent Behavioral Health Clinician 2930 positions. Rather than publishing separate job ads for every ... Homelessness and Supportive Housing and the Department of Public Health can then review your application and contact you directly with details about their positions.… more
- Commonwealth Care Alliance (Boston, MA)
- …utilization review , ideally experience with public programming, and excellent clinical judgment. They will work well both independently and in conjunction with ... & Responsibilities:** + Primary responsibility for performing daily medical reviews, appeals as appropriate, correspondence regarding review determinations and… more
- Virtua Health (Mount Laurel, NJ)
- …Practice Managers to provide efficiencies in operational workflows related to clinician coding. Review and Resolution of Interdepartmental Coding-related Issues: ... Coding Audit Response: Conducts Trains new coders to utilize the medical record, clinical , coding and abstracting systems, in conjunction with UHDDS and other rules… more
- Eastern Connecticut Health Network (Vernon, CT)
- …the quality department including two clinical documentation specialists and two clinical support specialists. + Critical review and timely submission of ... management of payer and industry audits of claims and appeals process: + Assists in the review ...OASIS, documentation and care planning. + Participates in individual clinician education through one on one review … more
- State of Colorado (Pueblo, CO)
- …used to fill future vacancies at this location. Description of Job Mental Health Clinician : This position exists to provide clinical mental health skills as the ... mental health consultant and clinician in a designated parole region. This position is...State of Colorado as a Licensed Professional Counselor, Licensed Clinical Social Worker, Licensed Psychologist or Licensed Marriage and… more
- Commonwealth Care Alliance (Springfield, MA)
- …medical, behavioral, and social needs. The RN uses evidenced-based care approaches, clinical skills, education, and training to influence the clinical outcomes ... communities across various locations. This position reports to the CIC APC Clinical Manager. **Supervision Exercised:** No, this position does not have direct… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …needs across the continuum of care by leveraging member partnership, pre-service clinical utilization review , case and disease management processes, skill sets ... a critical component of BCBSMN Medical Management team as the primary clinician providing condition and case management services to members. Your Responsibilities *… more
- Cardinal Health (Knoxville, TN)
- …+ Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen in order to not delay patient care. + ... Complete any pre-service appeals to obtain paying approval based on medical necessity....medical necessity. + Communicate effectively with all RCM and clinical staff to ensure appropriate treatment can be provided,… more