- AlohaCare (Honolulu, HI)
- …providers/PCP offices on Quality Improvement and HEDIS/STARS metrics initiatives. Oversees Utilization Management toward an effective concurrent review process ... oversight of Clinical Services. It consists of Health Coordination, Behavioral Health, and Medical Management . The VP...Medicare programs. 3+ years in managed care and/or care management . Utilization Management and Care… more
- Thrive Alliance (Sacramento, CA)
- Fathers To Founders is looking for an Enhanced Care Management Director. The Enhanced Care Management Director will be responsible for the operational, ... administrative, and clinical oversight of FTF's Enhanced Care Management (ECM) programs. This position requires a strong understanding of Medi-Cal ECM guidelines,… more
- LightHouse Behavioral Health Center, LLC. (Baltimore, MD)
- …care FOCUS #2 : ACCOUNTABLE FOR : The overall clinical and administrative management of Lighthouse Behavioral Health Center's licensed and residential ... Clinic delivers accessible services such as preventive care, chronic disease management , health screenings, and coordination with behavioral health supports.… more
- Mvp VC (San Francisco, CA)
- …and contribute to research with our purpose-built EHR, software solutions, clinician community, and managed services. Osmind is a San Francisco-based public ... This individual contributor role requires exceptional communication and relationship management skills, a strong understanding of practice operations, and the… more
- CVS Health (Harrisburg, PA)
- …No weekends or holidays. + 1+ years of utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in a ... day. **Position Summary-** + **Master's Degree and Independently licensed Behavioral Health Clinician Or Associate Degree and...years BH clinical Experience** + **1 or more years Utilization Management Experience** + **Work at Home… more
- Centene Corporation (Austin, TX)
- …disorders experience is required. + Direct experience with Utilization Review or Utilization Management related to Behavioral Health case is preferred + ... is preferred + Experience in Behavioral Health Case Management or Utilization Management in Managed Care Organizations, In-Patient Behavioral… more
- Centene Corporation (Sacramento, CA)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment… more
- Fairview Health Services (Minneapolis, MN)
- …Integrated care is a result of an engaged primary care team and Behavioral Health Clinician providing patient-centered care addressing mental health and ... determinants of health, and ineffective patterns of health care utilization . At MHealth Fairview, integrated care is a "team...a "team sport." We are currently hiring for the Behavioral Health Clinician (BHC) position, a key… more
- Fairview Health Services (Minneapolis, MN)
- …Integrated care is the result of an engaged primary care team and Behavioral Health Clinician providing patient-centered care addressing mental health and ... determinants of health, and ineffective patterns of health care utilization . At MHealth Fairview, integrated care is a "team...a "team sport." We are currently hiring for the Behavioral Health Clinician (BHC) position, a key… more
- City and County of San Francisco (San Francisco, CA)
- …2. Then, submit an online application. Under direction, the 2932 Senior Behavioral Health Clinician performs essential duties that include, but are ... the following: + Supervises one or more Class 2930 Behavioral Health Clinician /2931 Marriage, Family and Child...and others; + May conduct group psychotherapy and case management on a scheduled basis in connection with administering… more
- Fairview Health Services (Princeton, MN)
- …Integrated care is a result of an engaged primary care team and Behavioral Health Clinician providing patient-centered care addressing mental health and ... determinants of health, and ineffective patterns of health care utilization . At MHealth Fairview, integrated care is a "team...a "team sport." We are currently hiring for the Behavioral Health Clinician (BHC) position, a key… more
- Superior Court of Fulton County (Atlanta, GA)
- PART-TIME BEHAVIORAL HEALTH CLINICIAN II **SUPERIOR COURT OF FULTON COUNTY** **JOB ANNOUNCEMENT FOR THE POSITION OF** PART-TIME BEHAVIORAL HEALTH ... Fulton County Georgia ("Court") has an exciting opportunity for an experienced Behavioral Health Clinician II within its Accountability Court's Division.… more
- Superior Court of Fulton County (Atlanta, GA)
- BEHAVIORAL HEALTH CLINICIAN I **SUPERIOR COURT OF FULTON COUNTY** **JOB ANNOUNCEMENT FOR THE POSITION OF** BEHAVIORAL HEALTH CLINICIAN I **_SALARY GRADE ... Fulton County Georgia ("Court") has an exciting opportunity for an experienced Behavioral Health Clinician within its Accountability Courts Division. Superior… more
- Centene Corporation (Phoenix, AZ)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical… more
- Fairview Health Services (Edina, MN)
- …Integrated care is a result of an engaged primary care team and Behavioral Health Clinician providing patient-centered care addressing mental health and ... determinants of health, and ineffective patterns of health care utilization . At MHealth Fairview, integrated care is a "team...a "team sport." We are currently hiring for the Behavioral Health Clinician (BHC) position, a key… more
- City and County of San Francisco (San Francisco, CA)
- …2. Then, submit an online application. Under general supervision, the 2930 Behavioral Health Clinician performs essential duties that include, but are ... psychotherapy, crisis intervention, outreach services, culturally competent interventions, case management and rehabilitation to clients enrolled in behavioral … more
- Dartmouth Health (Keene, NH)
- …physician practice, while emphasizing care coordination across the continuum. Perform utilization management activities as necessary to ensure that medical ... Functioning as a member or the Behavioral Health Team, the Master's Level Clinician...critical pathways and outcome measurement preferred. Experience in case management , utilization review and discharge planning preferred.… more
- Hartford HealthCare (West Hartford, CT)
- …regimens. . Provides direct patient care that may include: case management , care coordination, interdisciplinary collaboration for care transition needs, crisis ... team member to contribute to improved patient experience. . Ensures the cost-effective utilization of resources. . Master's Degree in Social Work, or Counseling, or… more
- Atlantic Health System (NJ)
- …chart documentation. 8. Incorporates use of criteria sets in context of utilization management . 9. Performs other related duties as assigned. Required:1. ... individual recovery plans. 2. Engages to enhance functioning, effective coping, illness management , self- management , wellness and quality of life. 3. Partners… more
- City of Durham (Durham, NC)
- …health, substance use, and conflict mediation needs. The Crisis Response Clinician is responsible for behavioral health assessments, therapeutic interventions, ... with service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review, and data management . + Ability… more
