- 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 ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
- Bassett Healthcare (Oneonta, NY)
- …the best quality of life possible. What you'll do The Registered Professional Nurse II , Acute Care is accountable for the delivery of safe patient care utilizing the ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data… more
- The County of Los Angeles (Los Angeles, CA)
- PSYCHIATRIC SOCIAL WORKER II /SS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1163129) Apply PSYCHIATRIC SOCIAL WORKER II /SS Salary ... and students in the allied health fields. Instructs community agencies regarding the utilization of mental health principles to identify and to treat mental health… more
- Elevance Health (Atlanta, GA)
- … licensed staff supervision._ + Previous experience in case management/ utilization management with a broad range of experience with complex psychiatric/substance ... **Behavioral Health Care Manager II ** **Be Part of an Extraordinary Team** A...outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses… more
- Elevance Health (Los Angeles, CA)
- **JR162375 Behavioral Health Care Manager II ** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... professional treatment health benefits through telephonic or written review . **Location:** Virtual: This role enables associates to work virtually full-time, with… more
- MyFlorida (Tallahassee, FL)
- OPS GOVERNMENT ANALYST II - 64802013 Date: Sep 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 860780 Agency: Department of Health Working Title: OPS GOVERNMENT ANALYST II - 64802013 Pay Plan: Temp Position Number: 64802013 Salary: $24.67-$26.00 Hourly… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF PHYSICIAN II (VARIOUS SPECIALTIES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2915002) CHIEF PHYSICIAN II (VARIOUS SPECIALTIES) ... communities by providing extraordinary care. DEFINITION: Incumbents in these positions are licensed physicians that direct the programs and activities of a large… more
- LA Care Health Plan (Los Angeles, CA)
- …by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health ... Care Management Specialist II Job Category: Clinical Department: Care Management Location:...for Registered Nurses Master's Degree in Social Work for Licensed Clinical Social Workers Education Preferred Bachelor's Degree in… more
- Sea Mar Community Health Centers (Olympia, WA)
- …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... COVID-19 and flu vaccine organization Care Coordinator I or II - Posting #27392 Hourly Rate: $21.88 - $22.63...have to have an active license; this is a non- licensed position. + This position must obtain CPR within… more
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Care Manager II - Indiana** A proud member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical ... live in the state of Indiana** **And** **be clinically licensed in Indiana** **.** **Virtual** - This role enables...to 5:30 pm (EST)** The **Behavioral Health Care Manager II ** is responsible for managing psychiatric and substance abuse… more
- Elevance Health (Wallingford, CT)
- … licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with complex psychiatric/substance ... is granted as required by law._ The **Behavioral Health Care Manager II ** is responsible for managing psychiatric and substance abuse or substance abuse… more
- Sea Mar Community Health Centers (Lynnwood, WA)
- …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... a mandatory COVID-19 and flu vaccine organization Care Coordinator II - Posting #26043 Hourly Rate: $22.63 Position Summary:...have to have an active license; this is a non- licensed position. + This position must obtain Basic Life… more
- Sharp HealthCare (San Diego, CA)
- …of Pharmacy Services and Sharp HealthCare including: + Verification and review of medication orders + Medication Therapy Monitoring + Clinical Intervention ... required within 90 days of hire. **Essential Functions** + Verification and review of medication orders-Reviews all medication orders for appropriate dose, duration,… more
- YesCare Corp (Atmore, AL)
- …including sentinel event reviews and chart audits. + Engage actively in the Utilization Review process, ensuring appropriate use of healthcare resources. **Key ... + Provide and ensure on-call services to support patient care needs. + Review and approve clinical protocols, policies, procedures, and the medical disaster plan… more
- Veterans Affairs, Veterans Health Administration (Dayton, OH)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities The Licensed Professional Mental Health Counselor (LPMHC) will coordinate and manage the administrative and clinical aspects of the Mental Health… more
- Battelle Memorial Institute (West Jefferson, OH)
- …study completion. + Participates in proposal generation and performs scientific/technical review of proposals. + In collaboration with the business development team ... random drug screening. Willing to be immunized with FDA licensed vaccines and Investigational New Drugs (IND) recommended for...programs for equal treatment of all staff and full utilization of all qualified employees at all levels within… more
- US Tech Solutions (Atchison, KS)
- …Aetna. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and ... resources. **Job Duties:** + Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility and… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Date: Sep 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 857808 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Pay Plan: Career Service Position… more
- HCA Healthcare (Terre Haute, IN)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... join an organization that invests in you as a Mental Health Professional III Licensed PRN? At Terre Haute Regional Hospital, you come first. HCA Healthcare has… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. ... consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory… more