- Marion County (Salem, OR)
- …recruitment may close at any time without further notice.Marion County Adult Behavioral Health is hiring an Exceptional Needs Care Coordinator. This position ... process for requests for Long-Term Psychiatric Care.Ensure accuracy of utilization data of those admitted to the Oregon State...fully as a member of the Marion County Adult Behavioral Health team as a supportive, reliable, positive, collaborative,… more
- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR ... admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for… more
- Amity Foundation (Tucson, AZ)
- …and enthusiastic individuals with a desire to teach, learn and join our community as a Utilization Review Specialist at our campus in Tucson, AZ. With this ... community building Remembrance, Resolution, Reconciliation, Restoration, Renewal About the Position Utilization Review Specialist you will contribute to… more
- Universal Health Services (Groton, CT)
- …Washington, DC, Puerto Rico and the United Kingdom. www.uhs.com Job Summary: The Utilization Review Specialist is responsible for the pre-certification, ... (UHS), has an immediate opening for a full-time UR Specialist . Stonington Institute is committed to providing quality substance...or related Human Service Field or RN. Knowledge of Utilization Review Processes, insurance plans, mental health… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...of care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround… more
- Universal Health Services (Auburn Hills, MI)
- Responsibilities Utilization Management - Precertification Specialist HAVENWYCK HOSPITAL (a UHS facility) Havenwyck Hospital sa Joint Commission-accredited and ... information, please visit us at www.havenwyckhospital.com POSITION SUMMARY: The Utilization Management Precertification Specialist has responsibility for… more
- CareOregon (Portland, OR)
- Job Title Provider Relations Specialist Lead - Behavorial Health Department 116-Provider Relations Exemption Status Exempt Requisition # 24293 Direct Reports n/a ... department administration. Work may be focused on physical health, behavioral health, and/or community-based provider support. Essential Responsibilities Provider… more
- Universal Health Services (Fort Washington, PA)
- …collects pre-admission data and ascertains insurance coverage via Business Office and Utilization Review . + Completes the admissions process by entering required ... Responsibilities Full Time Behavioral Health Admissions Call Specialist Opportunity...admissions data and prepares reports of inquiry activity and utilization . + Assesses age-related information regarding the patient. +… more
- Omaha Children's Hospital (Omaha, NE)
- …veterans and people with disabilities. **A Brief Overview** The Clinical Education Specialist Behavioral Health promotes excellence in pediatric behavioral ... behavioral health practices into assigned division/organizational systems under development/ review . ◦ Proactively anticipates the need for educational activities… more
- LifePoint Health (Sylva, NC)
- …or local law. **Job:** ** Behavioral Health* **Organization:** ** **Title:** * Behavioral Health Specialist - PRN* **Location:** *NC-Sylva* **Requisition ID:** ... comprehensive first evaluation for patients in the involuntary commitment process. Behavioral Health responsibilities in this role may include: group therapy;… more
- Granville Health System (Oxford, NC)
- …case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; developing, ... level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients who… more
- Addiction Recovery Care (Springfield, KY)
- …electronic claims on a UB04 or CMS 1500 format + Actively works with the Utilization Review Department if an issue with a patient's authorization is presented + ... for our growing team! The role of the Billing Specialist is to ensure behavioral health claims...job requires strong attention to detail. Key Responsibilities: + Review clinical documentation from EMR billing reports for accurate… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …Respect Empowerment Sincerity Job Summary The UR Coordinator is responsible for the utilization review process at BBHH. Administrative and clerical functions of ... About Us Bakersfield Behavioral Healthcare Hospital, located in Bakersfield, California, is...at least 6 months of experience as a UR Specialist will apply. BBHH encourages all qualified candidates to… more
- St. Luke's University Health Network (Bucks, OH)
- …mental health/crisis intervention experience required. Previous experience with case management/ utilization review and managed care models preferred. Please ... other hospital services or external customers, in accessing the network Behavioral Health Services. JOB DUTIES AND RESPONSIBILITIES: + Conducts intake assessments… more
- Immigration and Customs Enforcement (IN)
- …matter expert in the oversight of program activities and policies related to utilization review and management. Duties include day to day managing, assessing, ... requiring a moderate amount of explanation and tact (eg, support for budget). Supervises utilization review consultants (URC), in the conduct of all aspects of… more
- MyFlorida (Marianna, FL)
- BEHAVIORAL ANALYST - 67072556 (SUNLAND - CLINICAL SERVICES) Date: Jun 6, 2024 Location: MARIANNA, FL, US, 32446 MARIANNA, FL, US, 32448 MARIANNA, FL, US, 32447 The ... Requisition No: 830151 Agency: Agency for Persons with Disabilities Working Title: BEHAVIORAL ANALYST - 67072556 (SUNLAND - CLINICAL SERVICES) Pay Plan: Career… more
- Universal Health Services (Leesburg, VA)
- …action plans. + The Medicaid Specialist must be a standing member of the Utilization Review Committee. + Other duties as assigned based on the needs of the ... Responsibilities North Spring Behavioral Healthcare, Inc. is a multifaceted behavioral...Behavioral Healthcare offers comprehensive benefits for the Medicaid Specialist position, such as: + Challenging and rewarding work… more
- Commonwealth of Pennsylvania (PA)
- …days, 15 sick days, and 13 paid holidays! DESCRIPTION OF WORK The County Behavioral Health Program Specialist will function primarily as the Community Hospital ... County Mental Health Program Specialist 1(Local Government)-Westmoreland Co MH/ID-Torrance St Hosp Print.../ Division Code 88213465 Bureau / Division Westmoreland County Behavioral Health and Developmental Services Worksite Address 145 Pavilion… more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management...Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM),… more
- BriteLife Recovery (Hilton Head Island, SC)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... BEHAVIORAL HEALTH TECHNICIAN/ DRIVER Do you work for...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS) or similar certification, or willingness to pursue… more
