- Alameda Health System (San Leandro, CA)
- …treatment planning. Follows AHS (Alameda Health System) and Behavioral Health Department Alameda County Utilization Review Plan to obtain ... Clinical Nurse III, Acute Inpatient Behavioral Health Utilization Management...EHR. 17. Maintains current knowledge of clinical practice and Utilization Management by literature review , membership in… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating ... strong, collaborative relationships with behavioral health providers and driving performance improvement...teams to support consistency and quality across BH and Health Home providers. - Participate in case review… more
- Battelle Memorial Institute (Tampa, FL)
- …working in a dynamic, mission-driven environment. This position supports outpatient behavioral health activities by conducting intake interviews, assisting with ... + Assist with the management and treatment of outpatient behavioral health activities + Under the supervision...program policy + Coordinate attendance and agenda at Case Review Committee with military and civilian agencies + Coordinate… more
- Battelle Memorial Institute (Fort Bragg, NC)
- …environment. The Licensed Clinical Social Worker position serves as a behavioral health care provider within operational units, delivering evidence-based ... **Responsibilities** + Function within an operational unit as a Behavioral Health Care Provider + Attend and...the electronic medical records of all patients contacted for review by the managing physician + Routinely staff difficult… more
- Battelle Memorial Institute (Fort Campbell, KY)
- …and experiences and welcome all qualified individuals to apply. **Job Summary** The Health Research and Analytics (HRA) business line is seeking a highly motivated, ... SOF personnel to develop and apply advanced cognitive, mental, and behavioral skills for optimal performance in training and operational environments, utilizing… more
- Monte Nido (Waltham, MA)
- …regulatory agencies. + Conduct psychosocial assessments, participate in treatment planning, utilization review , and discharge planning. + Conduct individual, ... people to realize their healthy selves. **Family Therapist** **Walden Behavioral Care** **Waltham, MA** Walden Behavioral Care...Assistance Program (EAP) + Flexible Spending Account (FSA) + Health Savings Account (HSA) + Paid time off +… more
- Battelle Memorial Institute (Hurlburt Field, FL)
- …and experiences and welcome all qualified individuals to apply. **Job Summary** The Health Research and Analytics (HRA) business line is seeking a highly motivated, ... This position plays a key role in supporting the psychological health and operational readiness of military personnel. The Neuropsychologist provides expert… more
- Monte Nido (White Plains, NY)
- …Qualifications: + At least 5 years of leadership experience in a behavioral health setting is preferred; may substitute leadership experience elsewhere. ... + Working knowledge of admissions and intake, Utilization Review , and 3rd party or insurance...Experience in an Eating Disorder program or other residential behavioral health setting is very helpful. +… more
- Katmai (Usaf Academy, CO)
- …levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. Adhere to ... specialized tests, and surgery. + Formulate nursing diagnosis based upon health status data by accurately interpreting assessment data and identifying patient… more
- UNC Health Care (Hendersonville, NC)
- …for behavioral health services. Working closely with behavioral health clinicians, utilization review , case management, and finance teams, the ... This role involves the review , coordination, and tracking of behavioral health referrals, ensures adherence to safety protocols, age-appropriate clinical… more
- Novant Health (NC)
- …needed, most holidays required. + Serve as a leader resource in the Utilization Review process for Behavioral Health acute care . + Coordinate and ... regulatory compliance. + Obtain prior authorization for behavioral health services. + All Utilization Review activities are performed in accordance with… more
- Spectrum Billing Solutions (Skokie, IL)
- …(Word, Excel, billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization ... Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing Specialist #UtilizationReviewSpecialist | #UtilizationManagementSpecialist… more
- Centene Corporation (Carson City, NV)
- …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
- CVS Health (Austin, TX)
- …not accepting applicants whose only acute care experience is in behavioral health ) **Preferred Qualifications** + 1+ years' experience Utilization Review ... At CVS Health , we're building a world of health...Job Description Primary Job Duties & Responsibilities Drives effective utilization management practices by ensuring appropriate and cost-effective allocation… more
- CVS Health (Austin, TX)
- …not accepting applicants whose only acute care experience is in behavioral health ) **Preferred Qualifications** + 1+ years' experience Utilization Review ... At CVS Health , we're building a world of health...with heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote… more
- CVS Health (Harrisburg, PA)
- …. No weekends or holidays. + 1+ years of utilization review / utilization management required. + 3+ years of behavioral health clinical experience ... 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 role. Can… more
- Elevance Health (CA)
- ** Behavioral Health Care Manager I, Utilization Management** **Work Hours M-F 8am-5pm PST** **Work Location: Virtual, California** This role enables ... an accommodation is granted as required by law. The ** Behavioral Health Care Manager I, Utilization...or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review .… more
- CVS Health (Phoenix, AZ)
- …be at the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate, evidence-based care. You'll ... Apply critical thinking and evidence-based clinical criteria specific to Behavioral Health to evaluate inpatient and outpatient...intensive outpatient programs. + At least 1 year of Utilization Management experience in concurrent review or… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- Devereux Advanced Behavioral Health (Viera, FL)
- **Description** Are you looking to advance your career in Admissions & Utilization Review ? If you answered yes, then consider joining our team where you can take ... your career to the next level. **Being the Utilization Review Coordinator at Devereux has its...Devereux has its Advantages!** Devereux Florida is a nonprofit behavioral health organization that provides a wide… more
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