- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …role directly manages 5-10 This role reports to this job: Manager, Behavioral Health Operations Necessary Contacts: In order to effectively fulfill this position, ... related field, masters in social work, counseling, or other behavioral health related field is required. + Current, unrestricted...experience is required. **Skills and Abilities** + Ability to review claims history in a medical claims system and… more
- Centene Corporation (Tallahassee, FL)
- …ABA TEAM IDEAL CANDIDATE WILL HAVE BCBA CERTIFICATION **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure ... activities of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable… more
- Actalent (Sunrise, FL)
- …+ Prepare and present reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + ... Working under the general supervision of the Director and/or Manager/ Supervisor of Medical Management, and in collaboration with an...or LPN License. + Minimum of one year of utilization review experience and discharge planning in… more
- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Supervisor to our growing team. The UR ... case conference reviews. Minimum requirements: + 3-5 years of experience in utilization review for behavioral health services. + Bachelor's or Master's… more
- AmeriHealth Caritas (LA)
- …efficiently document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria, care coordination, ... + Demonstrated ability to meet productivity standards in a fast-paced, high-volume utilization review environment. + Availability to work Monday through Friday,… more
- AmeriHealth Caritas (Washington, DC)
- …to efficiently document and assess patient cases + Strong understanding of utilization review processes, including medical necessity criteria, care coordination, ... **Role Overview** Under the direction of a supervisor , the Clinical Care Reviewer - Utilization...ability to meet productivity standards in a fast-paced, high-volume utilization review environment The range displayed in… more
- BJC HealthCare (St. Louis, MO)
- …nurse experience performing care for hospitalized patients. + 2 years of utilization review (UR) experience reviewing hospital admissions for medical necessity ... shifts. No patient communication. The position will support all units/staff (commercial, behavioral health, inpatient, ect) **Requirements:** + 2 years of staff… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** Under the direction of the unit Supervisor , the Clinical Care Reviewer- Shift Care is responsible for managing requests for pediatric shift care ... parent/guardian to complete a comprehensive assessment of the member's medical, behavioral , and social needs.; **Responsibilities** + Using clinical knowledge and… more
- Sevita (Beverly, MA)
- …children and adolescents with Autism Spectrum Disorders and other related disorders. ** Behavioral Program Supervisor ** Do you have strong leadership skills? Are ... Provide administrative supervision and guidance of the Behavior Analysts and Behavioral Intervention Therapy Department. + Supervision of assigned staff includes… more
- Sevita (West Boylston, MA)
- …and families, join our mission-driven team and experience a career well lived. ** Behavioral Program Supervisor ** Do you have strong leadership skills? Are you ... part of the Sevita family** , provides community and center-based Applied Behavioral Analysis (ABA) services to individuals with Autism Spectrum Disorder (ASD) and… more
- Helio Health Inc. (Syracuse, NY)
- …degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed care ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you to apply! Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. ... Care Advance Provider Tool, and fax for inpatient and outpatient procedures, behavioral health, and durable medical equipment. Essential Accountabilities: Level I +… more
- Immigration and Customs Enforcement (Eloy, AZ)
- …Risk management, etc.) and work collaboratively to address the same. Participates in review of behavioral health processes and procedures within the facility; ... Service Corps (IHSC), Office of the Deputy Assistant Director of Clinical Services, Behavioral Health Unit (BHU). This position is supervisory. This position is only… more
- Eastern Connecticut Health Network (Manchester, CT)
- …and expeditious retrieval of information, as evidenced by staff feedback, chart review , regulatory reviews and supervisor observation. + Is courteous and ... the Administrative Manager and indirectly to the Director of Ambulatory Behavioral Health Services. Provides administrative support for clinical, management, medical… more
- Lawrence General Hospital (Methuen, MA)
- …and change management. + Experience working in a managed care environment including utilization review processes. + Experience working in a union environment. + ... JOB PURPOSE: The Center for Behavioral Medicine Director will be responsible for providing...communicates learning, competency and personal development needs to the supervisor . + Actively identifies and participates in educational activities… more
- East Boston Neighborhood Health Center (MA)
- …the preparation and monitoring of the departmental budget; BHC productivity/ utilization review , and documentation/coding/billing practices and improvements. ... Locations: 1601 Washington Street Position Summary: Under the direction of the Chief Behavioral Health Officer, the Administrative Director is an agent of change who… more
- Lake Erie College of Osteopathic Medicine (Erie, PA)
- …of psychiatric diagnostic criteria and differential diagnoses; + Awareness of the utilization of psychological methodologies; + Ability to review the work ... Behavioral Health Director - College of Medicine Overview...federal regulations; + Attends regularly scheduled meetings with administrative staff/ supervisor ; + Participates in other programming as requested and… more
- Lake Erie College of Osteopathic Medicine (Erie, PA)
- …through those agencies; + Attends regularly scheduled meetings with administrative staff/ supervisor ; + Directs the Behavioral Health Module for students ... Director of Behavioral Health - College of Medicine Overview Date...order to realize differential diagnoses; + Competent with the utilization of psychological methodologies; + Ability to review… more
- OLV Human Services (Lackawanna, NY)
- …health record (EHR) for documentation of services rendered. + Review utilization and service provision with supervisor + Coordinate and collaborate with ... Salary range: $18.22 - $26.00 per hour. The Youth Behavioral Support Caseworker provides direct services to children and...others. + Any other duty as assigned by your Supervisor Skills: + Teamwork: Ability to work as part… more
- BriteLife Recovery (Hanover, PA)
- …+ Under direction of supervisor , establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, limit ... "PRN" BEHAVIORAL HEALTH TECHNICIAN/DRIVER Do you work for a...follow the direction of the Clinical Director and BHT Supervisor and safely transport clients in a timely fashion… more