- Centene Corporation (Tampa, FL)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
- CVS Health (Salt Lake City, UT)
- … behavioral health background. Preferred Qualifications + 3 years Managed care/ utilization review experience preferred. + Crisis intervention skills and ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
- Centene Corporation (Sacramento, CA)
- …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... the applicable state required. Master's degree for behavioral health clinicians required. Behavioral health clinical knowledge and ability to review and/or… more
- City and County of San Francisco (San Francisco, CA)
- …such as chart audit and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties as required. Nature of work requires ... County of San Francisco continuously accepts applications for all permanent Senior Behavioral Health Clinician 2932 positions. Rather than publishing separate… more
- City and County of San Francisco (San Francisco, CA)
- …and County of San Francisco continuously accepts applications for all permanent Behavioral Health Clinician 2930 positions. Rather than publishing separate job ... Housing and the Department of Public Health can then review your application and contact you directly with details...will follow from them Under general supervision, the 2930 Behavioral Health Clinician performs essential duties that… more
- Hartford HealthCare (Torrington, CT)
- …Licensed Clinician provides individual, group, couples, and family therapy. Utilization of evidenced based practices are supported. Clinicians are encouraged to ... **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** *Psychiatric Clinician (LCSW, LPC, LMFT) - Behavioral Health*… more
- Hartford HealthCare (Norwalk, CT)
- …Licensed Clinician provides individual, group, couples, and family therapy. Utilization of evidenced based practices are supported. Clinicians are encouraged to ... Behavioral Health* **Organization:** **St. Vincent's Medical Center* **Title:** * Behavioral Health Clinician II - Norwalk OP* **Location:**… more
- Atlantic Health System (NJ)
- …or related field or Bachelor's Degree with 4+ years of experience as Behavioral Health Clinician . 2. Previous clinical or counseling experience. 3. LCADC ... 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned....100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
- Atlantic Health System (Newton, NJ)
- …or related field or Bachelor's Degree with 4+ years of experience as Behavioral Health Clinician . 2. Previous clinical or counseling experience. 3. LCSW ... 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned....100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
- City of Durham (Durham, NC)
- …service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management. + Ability ... health, substance use, and conflict mediation needs. The Crisis Response Clinician is responsible for behavioral health assessments, therapeutic interventions,… more
- Molina Healthcare (Long Beach, CA)
- **JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE** **For this position we are seeking a (RN) Registered Nurse with previous experience ... in Acute Care, Concurrent Review / Utilization Review / ...an integrated delivery of care across the continuum, including behavioral health and long term care, for members with… more
- Humana (Columbus, OH)
- …put health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health) who will utilize their clinical skills to ... health services and/or benefit administration determinations. The Manager, Utilization Management ( Behavioral Health) applies a Person-Centered approach,… more
- Catholic Charities Family Community Services (Rochester, NY)
- …periodic updates and a closing letter. + Provides information for HMO and payer utilization review as required. + Participates in staff meetings and clinical ... Charities Family and Community Services is growing and seeking an** **Outpatient Behavioral Health Clinician ** **to join our family!** Catholic Charities Family… more
- Baystate Health (Springfield, MA)
- …meetings to address treatment objectives. **6.** May collaborate as assigned with utilization review specialist to obtain necessary insurance authorizations and ... to join our ED Crisis Team in Springfield, MA. The ED Crisis Clinician collaborates with Behavioral Health Crisis Clinicians, ED nursing, and providers to… more
- Wheeler Clinic (Hartford, CT)
- Part Time Gambling Disorders Clinician Hartford, CT, USA Req #1230 Monday, April 29, 2024 Wheeler's vision is that all people will have the opportunity to grow, ... of life. POSITION SUMMARY The Part Time Bettor Choice Integrated Health Care Clinician provides clinical and case management services adults 18+ in an integrated… more
- Molina Healthcare (Bronx, NY)
- …Medicare.** **We are looking for a LPN or LVN Care Review Clinician with Prior Authorization experience. Experience with Utilization Management (UM) is ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
- Molina Healthcare (Bronx, NY)
- …and the site of service. **We are seeking a Registered Nurse with UM and Inpatient Review experience. The Care Review Clinician must be able to work ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS… more
- Hartford HealthCare (Torrington, CT)
- …a convenient, safe and comfortable patient environment. __ The Licensed Psychiatric Clinician is a Masters prepared Licensed Clinical Social Worker (LCSW), Licensed ... Therapist (LMFT), or Licensed Professional Counselor (LPC). The Licensed Psychiatric Clinician is responsible for the assessment, treatment planning and delivery of… more
- Charter Care Health Partners (Providence, RI)
- …Degree in Social Work Experience: Minimum of 5 years clinical experience in acute behavioral health. Utilization review and inpatient behavioral health ... other specialties on the unit. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care Management, Discharge… more
- Molina Healthcare (NE)
- …**Opportunity for a Nebraska licensed RN, LMHP, LIMHP to complete Inpatient Utilization Reviews for our behavioral health members. Preference will be ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more