- Butler Hospital (Providence, RI)
- …discharge plan in the EMR Responsibility In collaboration with treatment team, performs utilization review functions and serves as the primary liaison with ... of all (100%) cases within 24 hours. Performs all concurrent review procedures: pre-admission, admission, continued stay and discharge utilizing established hospital… more
- The Home for Little Wanderers (Roslindale, MA)
- …manner as determined by agency expectations. Ensure that documentation meets utilization review and quality assurance standards. Attend in-service training ... services to adults, children and their families who are facing emotional, behavioral , developmental or academic challenges. Many of those who receive services have… more
- NewVista Behavioral Health (Indianapolis, IN)
- …and "warm-referrals" to community providers for engagement. Communicates with utilization review Completes thorough, timely documentation in compliance ... Allison Pointe Trail Suite 370Indianapolis, IN 46250 Call Center- Telehealth Clinician The Role Itself Coordinates care with interdisciplinary teams and external… more
- Blue Cross and Blue Shield of Minnesota (St. Paul, MN)
- …difference, join us. The Impact You Will Have This job implements effective utilization management strategies including: review of appropriateness of pre and ... and member satisfaction. Required Skills and Experiences Registered nurse or licensed behavioral health clinician (ie LICSW, LPCC, LMFT, LP, LADC) with… more
- OptiMindHealth (Cambridge, MA)
- …Part-Time FLSA Status: Non-Exempt Location: Cambridge , MA Join a leading clinician -led behavioral health company today! OptiMindHealth (OMH) is expanding and ... compassionate professionals to join our team. Today, OMH provides superior behavioral health services to patients in Massachusetts, Colorado, and Montana. Since… more
- Beth Israel Lahey Health (Lawrence, MA)
- …a difference in people's lives. Clinical Supervisor (LICSW / LMHC) - Community Behavioral Health Center located in Lawrence, MA. Job Description: The Adult Urgent ... overall administration of the Urgent Care/Mobile Crisis Program, including the appropriate utilization and management of staff and quality of patient care with… more
- WellPower - All Jobs (Denver, CO)
- …sexual orientation, national origin, genetics, disability, age, or veteran status. Enhanced Outpatient Clinician (EOP): On the EOP level of care, the people we serve ... as needed to support an individual's needs. The EOP clinician is the main point of contact for the...to community resources. EOP Clinicians provides comprehensive psychological and behavioral case management & therapy services within a continuum… more
- Centene Corporation (Raleigh, NC)
- …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
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** The Sr Clinician , Behavioral Health Utilization Review will review behavioral health ... care planning and coordination when a Commonwealth Care Alliance clinician is not already involved. Work with ESPs to...behavioral health managed care preferred + Experience in behavioral health utilization review or… more
- 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
- 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 ... clinical strategies to provide comprehensive care within an intimate home setting. The Utilization Review ** Clinician ** is responsible for conducting daily… more
- Centene Corporation (Tallahassee, FL)
- …assess ABA Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare ... state (BCBA) required. Master's degree for behavioral health clinicians preferred. Behavioral health clinical knowledge and ability to review and/or… more
- City and County of San Francisco (San Francisco, CA)
- …positions can review your application Under direction, the 2932 Senior Behavioral Health Clinician performs essential duties that include, but are not ... and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties as...techniques. + Knowledge of clinical methods refers to the utilization of the history, culture, socioeconomic background, and environment… more
- City and County of San Francisco (San Francisco, CA)
- …positions can review your application Under general supervision, the 2930 Behavioral Health Clinician performs essential duties that include, but are not ... of San Francisco continuously accepts applications for all permanent Behavioral Health Clinician 2930 positions. Rather than...Housing and the Department of Public Health can then review your application and contact you directly with details… more
- Dartmouth Health (Keene, NH)
- …critical pathways and outcome measurement preferred. Experience in case management, utilization review and discharge planning preferred. Knowledge of JCAHO/NCQA ... Functioning as a member or the Behavioral Health Team, the Master's Level Clinician...is sensitive to patient needs and expectations, promote effective utilization of resources, and support physician practice, while emphasizing… more
- Atlantic Health System (Newton, NJ)
- …Required: 1. Master's Degree in Social Work, Counseling and experience as Behavioral Health Clinician . 2. Previous clinical or counseling experience. 3. ... 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 (Hackettstown, NJ)
- …chart documentation. 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned. Required: 1. Master's ... - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well… more
- Atlantic Health System (Newton, NJ)
- …process clinical referrals + Obtain insurance authorizations and participate in utilization reviews + Complete timely and accurate documentation utilizing Electronic ... - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well… more
- CVS Health (Frankfort, KY)
- …counties + Experience working with Substance Use Disorder diagnoses + Managed care/ utilization review experience + Medicaid experience + Position requires ... /benefit management function. **Required Qualifications** + **_Kentucky Licensed Independent Behavioral Health Clinician (_** **_LPCC, LCSW, LMFT, LPAT_**… 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. The ED Crisis Clinician collaborates with Behavioral Health Crisis Clinicians,...for gathering a psychosocial evaluation through interviews and record review and completing a written assessment with case formulation… more
