- Lake Behavioral Hospital (Waukegan, IL)
- Lake Behavioral Hospital is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Waukegan, Illinois.Job Description & ... RNDuration: Ongoing40 hours per weekShift: 8 hours, daysEmployment Type: StaffOutpatient Utilization Review CoordinatorJob LocationLake Behavioral Hospital -… more
- Signet Health (Clinton, MD)
- …compensation package including generous salary and PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three (3) 12-hour ... responsible for the following: Triaging, assessing and managing members referred for Behavioral Health Case management Tracking and management of members… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Educational Requirements: Preferred Experience: Two years experience in practice of Behavioral Health Nursing.Other: Job Specific and Unique Knowledge, Skills ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:7 Days on 7 Days OffNortheast Georgia Health System is rooted in a foundation of improving the health … more
- Compass Health Network (Camdenton, MO)
- …Miller Counties. The ICTS program's aim is to reduce the (re)incarceration of behavioral health consumers under Division of Probation and Parole (P&P) ... nonprofit health care organization offering accessible, comprehensive, & compassionate behavioral health , substance use treatment, family medicine and dental… more
- Compass Health Network (Camdenton, MO)
- …Miller Counties. The ICTS program's aim is to reduce the (re)incarceration of behavioral health consumers under Division of Probation and Parole (P&P) ... and state regulations; ensuring timely documentation of services rendered per Compass Health policy. * Knowledge of utilization management criteria. * Maintain… more
- Youth Villages (Jackson, MS)
- …of research-based treatment philosophies in the field of children's mental and behavioral health . Our commitment to helping troubled children and their ... customer relations, interviewing and hiring, implementation of training, implementation of utilization review , implementation of quality management, and employee… more
- Sutter Health (Berkeley, CA)
- …Overview:** Provides a variety of professional clerical and administrative support to the utilization review behavioral health department. Applies ... replacement. COMPLIANCE: + Maintains strictest confidence of all patients protected health information (PHI) and protects all PHI from accidental, intentional, or… more
- Sutter Health (Berkeley, CA)
- …and others to ensure appropriate utilization and quality care through utilization review , tracking and evaluation and objectively compare criteria with ... nursing staff and other departments regarding documentation required for utilization review activities and processes. Collaborate with...in lieu of the required degree or diploma_ Department, Behavioral Health : Master's in Social Work or… more
- Universal Health Services (Savannah, GA)
- Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator ( Fulltime ) To coordinate and direct Utilization Review ... and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access… more
- Centene Corporation (Sacramento, CA)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and...health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review… more
- Trinity Health (Maywood, IL)
- …teams. This includes utilization review of inpatient medical and behavioral health services to assess appropriateness of level of care and collaborate ... our small but mighty team to guide and manage Utilization Review and Management for the Loyola... and Management for the Loyola Physician Partners LPP) Health Plan, a delegated entity for BCBS HMO Medicare… more
- CareFirst (Baltimore, MD)
- …and standards to physicians participating in the network. + Oversees all activities of behavioral health utilization review , care management and quality ... **Resp & Qualifications** **PURPOSE:** The Behavioral Health Medical Director oversees all... Health Medical Director oversees all activities of utilization review , care management and quality to… more
- Spokane County (Spokane, WA)
- … Administrative Services Organization Integrated Care and the Behavioral Health Administrative Services Organization Utilization Review Integrated Care. ... Bureau. + Performs other related duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care… more
- Emanate Health (Covina, CA)
- …State of California, and hospital policies, goals, and objectives. Completes Utilization Review of Behavioral Health Services. Charge Nurse will have ... **Current Emanate Health Employees - Please log into your Workday account to apply** Everyone at Emanate Health plays a vital role in the care we deliver. No… more
- CVS Health (Frankfort, KY)
- …schedule based on business needs Preferred Qualifications: + Managed care/ utilization review experience preferred + Experience in a behavioral health ... clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus.… more
- Charter Care Health Partners (North Providence, RI)
- …Degree in Social Work Experience: Minimum of 5 years clinical experience in acute behavioral health . Utilization review and inpatient behavioral ... other specialties on the unit. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care Management, Discharge… more
- Banner Health (Scottsdale, AZ)
- … systems and help make our patients' lives easier. Apply today. Bring your passion for Behavioral Health to Banner Health ! **Banner Behavioral Health ... in 2017, providing new, state-of-the art units for our patients and staff! Banner Behavioral Health Hospital is a voluntary facility for adults and adolescents.… more
- Universal Health Services (Dover, DE)
- Responsibilities Dover Behavioral Health System is a 104-bed, acute care psychiatric hospital located in the beautiful Dover, Delaware area. Dover Behavioral ... health care team each year at Dover Behavioral Health System. This opportunity offers working...review and maintain other appropriate records of the Utilization Review department. + Communicate pertinent third… more
- UNC Health Care (Chapel Hill, NC)
- …organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Utilization Manager ... episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to… more
- CVS Health (Salt Lake City, UT)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health . Utilizes clinical experience and skills in a ... - Must have active current and unrestricted Independent clinical behavioral health license in the state of...as ambulatory care or outpatient program- Managed care and utilization review experience preferred.- Crisis intervention skills… more
