• Zenex Partners (Beverly Hills, CA)
    Description Job Opportunity: LVN / LPN - Utilization Review Facility: CSMN - 1101017 Nursing Clinical Support Location: Beverly Hills, CA Employment Type: ... Weekend REQ: No Certs REQ: BLS, IV certified Is on-call REQ? No Will clinician float within scope to meet facility needs? Yes, heavily Locals accepted: Yes Pending… more
    Upward (07/23/25)
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  • CHILDRENS RECEIVING HOME (Sacramento, CA)
    …Job Shift Undisclosed Job Category Undisclosed Description Position Summary: The Clinician is responsible for providing individual crisis services for youth in ... Support Unit (CPSU) of Child Protective Services (CPS). In this role, the clinician provides trauma-informed clinical support to youth who have recently been placed… more
    Upward (07/03/25)
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  • Summit BHC (Williamsburg, VA)
    Intake Clinician - PRN | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job: PURPOSE STATEMENT: The Intake Clinician is a behavioral health ... managed care pre-certification process, level of care assessments and utilization preferred. Experience in clinical interviewing, patient assessment, referral,… more
    Upward (07/03/25)
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  • Integral Care (Austin, TX)
    …utilizing assessment, multidisciplinary coordination, and efficient clinically appropriate utilization of agency resources. Duties include collaboration with ... handled with considerable independence, and complicated cases receive closer clinical review and supervision. Services provided may include individual, family and/or… more
    Upward (07/03/25)
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  • Medstar Health (Washington, DC)
    …with others as appropriate to ensure that palliative clinical protocols, utilization review , case management, quality assurance, and compliance programs ... an organization that welcomes your experience, input and leadership - as a clinician and healthcare expert. MedStar Health Palliative Care is recruiting for a… more
    Upward (07/28/25)
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  • LHC Group, Inc. (Cincinnati, OH)
    …and federal laws and regulations. Receives referrals and ensures appropriate clinician and/or therapist(s) assignments for timely patient evaluation by signing off ... payer change documentation is completed properly and timely, as required. Reviews clinician visit notes weekly to ensure timely, complete, appropriate, and accurate… more
    Upward (07/29/25)
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  • OptiMindHealth (Medford, MA)
    …Part-Time FLSA Status: Non-Exempt Location: Medford , MA Join a leading clinician -led behavioral health company today! OptiMindHealth (OMH) is expanding and seeking ... Discuss the possible overlap in our offerings and needs to stakeholders, review our specialty areas and note our differentiating characteristics. 3. Complete and… more
    Upward (07/05/25)
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  • Kaiser Permanente (Roseville, CA)
    …assure continuity and quality of care. Attends case management rounds with clinician and updates authorizations and diagnoses as needed. Assesses patient progress ... Provides services related to patient disposition by: performing daily review for early identification of disposition planning activities; developing, evaluating,… more
    Upward (07/21/25)
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  • Kenneth Young Center (Elk Grove Village, IL)
    …psychiatric medication only treatment services. Primary Responsibilities Work as Primary Clinician for an identified caseload of clients receiving medication only ... six months for medication only clients. Provide treatment planning review and modification, as needed, but at least every...cases are shared across teams Become familiar with and utilization of outside resources as needed to provide comprehensive… more
    Upward (07/12/25)
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  • Suncrest Hospice (Elk Grove Village, IL)
    …our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner ... and spiritual counselors; Maintains accurate records of spiritual care services utilization and related activities for quality assurance, program development, and… more
    Upward (07/15/25)
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  • LHC Group, Inc. (Rocky Hill, CT)
    …$10,000 sign-on bonus Responsibilities Receives referrals and ensures appropriate clinician and/or therapist(s) assignments for timely patient evaluation by signing ... payer change documentation is completed properly and timely, as required. Reviews clinician visit notes weekly to ensure timely, complete, appropriate, and accurate… more
    Upward (07/20/25)
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  • Bethany (Grand Rapids, MI)
    …healthy family functioning. The benefit of this position, rather than a traditional out-patient clinician , is that you are able to set your own hours and flex your ... outside of regular business hours. Complete admission assessment and utilization management of assigned inpatient, partial hospitalization, residential, and crisis… more
    Upward (07/15/25)
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  • Connections Health Solutions (Chantilly, VA)
    …risk assessment, and discharge planning. Serves as the attending clinician to specified individuals. Completes initial psychiatric assessments, crisis interventions, ... team. Provides necessary information to clinical team regarding inpatient utilization . Utilizes appropriate medication based on best practices. Collaborates with… more
    Upward (07/13/25)
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  • OhioHealth (Mansfield, OH)
    …comprehensive patient care review , which includes the integration of Utilization Review , Quality Assurance, Risk Management, Infections Control and Discharge ... Planning functions. As an advanced nurse clinician , the case manager combines the role of ...clinician , the case manager combines the role of clinician , collaborator, consultant, and educator to accomplish desired clinical… more
    Upward (07/18/25)
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  • LHC Group, Inc. (Fond Du Lac, WI)
    …and federal laws and regulations. Receives referrals and ensures appropriate clinician and/or therapist(s) assignments for timely patient evaluation by signing off ... payer change documentation is completed properly and timely, as required. Reviews clinician visit notes weekly to ensure timely, complete, appropriate, and accurate… more
    Upward (07/18/25)
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  • Sound (Seattle, WA)
    …Prioritize and assign new clients to team members under their supervision. Review , monitor, and assure compliance that all required clinical documentation is ... Inquiring about medication regimes and treatment compliance. Manage the utilization compliance of services and the success of outcome...minimum of three years of clinical experience as a clinician 3 or 4 and demonstrated skills in clinical… more
    Upward (07/27/25)
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  • CVS Health (Chicago, IL)
    …excellence and world-class performance in hospital admissions, quality, patient satisfaction, clinician satisfaction, and medical cost. To offer context for the ... care model, including: Medical Management Care Management Quality Improvement Utilization Management Network Management Health Plan Management Documentation/Risk Adjustment… more
    Upward (07/16/25)
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  • Community Health Resources (Manchester, CT)
    …stay and discharge criteria. Reviews caseloads regularly to ensure appropriate utilization of services. Oversees hiring, training, and performance management of ... Experience: A minimum of 2-3 years' experience as a clinician . Clinical supervisory experience preferred. Licensure/Certification/Registration: LCSW, LPC, LMFT, or… more
    Upward (06/28/25)
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  • Utilization Review Clinician

    Monte Nido (Miami, FL)
    …save lives while providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician ** **Monte Nido** **Remote - EST or CST ... to provide comprehensive care within an intimate home setting. The Utilization Review ** Clinician ** is responsible for conducting daily administrative and… more
    Monte Nido (06/21/25)
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  • Utilization Review Clinician

    Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
    …mental health and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $31.50-37.50 Per ... monitor and optimize reimbursement for external reviewers/third party payers. The Utilization Review Clinician maintains knowledge of, participates… more
    Sacramento Behavioral Healthcare Hospital (07/04/25)
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