- Mindlance (Philadelphia, PA)
- Responsibilities: Under the direction of a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and ... Acute Care (LTAC) settings. Proficiency in Electronic Medical Record Systems and Utilization Review Systems (eg, JIVA) to efficiently document and assess… more
- Contra Costa County, CA (Martinez, CA)
- …Health Services? The Contra Costa Health Department is seeking to fill one (1) Utilization Review Manager position in Contra Costa Health Plan, located in ... business. We are seeking a strategic, experienced, and collaborative Utilization Review Manager to lead our ...will typically be responsible for: Managing and monitoring day-to-day clinical review operations and authorizations Leading the… more
- Abode Services (San Francisco, CA)
- …and effective nonprofits working to end homelessness in the Bay Area, is seeking a Clinical Supervisor for our programs in San Francisco County. About the role: ... The Clinical Supervisor (Licensed as a LCSW or...of bio-psychosocial assessments, diagnoses, treatment plans, and psychiatric interventions. Review clinical notes, assessments, and treatment plans.… more
- Community Counseling Solutions (Hermiston, OR)
- Job Type Full-time Description Job Title: EASA Clinical Supervisor /Mental Health Supervisor Location/Department: Hermiston Outpatient Supervisor : ... Wellness Benefits Summary: This position is responsible for the clinical supervision and professional development of staff in the...treatment. Write comprehensive reports each month to include file review , face time with each EASA team member, and… more
- Hidden Treasures (Downey, CA)
- …train pre-licensed clinical staff on BACB competencies Monitor supervisee's clinical performance and case management primarily in-person. Review and critique ... or other interview materials to parents/caregivers in order to facilitate a clinical understanding of the client Conduct a series of observations in multiple… more
- SpringHealth Behavioral Health and Integrated Care (San Antonio, TX)
- Our Company SpringHealth Behavioral Health and Integrated Care Overview Behavior Clinic Supervisor for Youth ABA Line of Business MUST BE A FULLY LICENSED BCBA IN ... TEXAS HYBRID REMOTE WORK AND FLEXIBLE SCHEDULE! We are seeking a Youth Behavioral Clinic Supervisor that will be helping us build the Youth ABA line of business for… more
- Avenues Recovery (Norfolk, VA)
- …in the recovery community, the Avenues family warmly welcomes you! Now Hiring a Clinical Supervisor for our newest Detox and Residential treatment facility , ... Provide consistent compliance oversight to ensure impeccable client documentation Provide Utilization Review support to drive authorization and retention… more
- Actalent (Austin, TX)
- Your main role will be utilizing your clinical skills to complete utilization management reviews (Prior authorizations, Coverage Exceptions, Quantity Limit ... years of work experience in retail, managed care, or clinical pharmacy Doctor of Pharmacy (PharmD) or Bachelor of...after training must be mentioned in the interview for supervisor consideration during the initial 6-month contract. Training is… more
- State of Pennsylvania (Harrisburg, PA)
- …and compassionate individual to grow their leadership skills as a Registered Nurse Supervisor . In this role, you will help lead our nursing staff and assure ... at the Selinsgrove Center! DESCRIPTION OF WORK As a Registered Nurse Supervisor , you will be responsible and accountable for planning, directing, coordinating,… more
- Rogers Behavioral Health (Milwaukee, WI)
- …staff receives appropriate clinical supervision. Conduct fidelity monitoring with clinical staff. Review admission screens when assigned. Supervise and train ... community to create a continuum of care and assures utilization of services. He/She also facilitates the continuum of...and staff training activities. Ensure the appropriate, regular performance review of all clinical staff working in… more
- Marshall Health Network (Point Pleasant, WV)
- …and the administrator on-call. Additionally, this position will include knowledge of Utilization Review rules and regulations as they assist physicians and ... policies and procedures, allowing independent judgement in their interpretation. The Nursing Supervisor duties include provision of managerial and clinical links… more
- Amador County, CA (Jackson, CA)
- …Treatment authorization Review and Concurrent Review of client charts. Clinical representative for Utilization Review Committee Performs related work ... and practices of managed care and quality management applications including utilization review and quality improvement performance. Principles, practices,… more
- Northwell Health (Amityville, NY)
- …not limited to enrollment, disenrollment, electronic/paper medical record, and any other clinical notes. Review participants' charts for quality and address any ... FlexStaff is seeking a Nursing Supervisor /Care Delivery Manager (RN) for our client, a...Schedule: 37.5 hours a week Hours: FULL-TIME 8:30am-5:00pm RESPONSIBILITIES: Review and ensure effective development and execution of personalized… more
- Lifespan (Taunton, MA)
- …provides appropriate data to director as required. Collaborates with director in review of financial reports, as needed. Budget Management Demonstrates appropriate ... utilization of staff resources, including overtime evaluation and daily departmental staffing needs with consideration given to volume fluctuations. Monitors and… more
- Northwell Health (New York, NY)
- …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... onboarding and reassessment, UAS-NY completion, comprehensive assessment, medication review , and post-hospital discharge evaluation. The Clinical Assessment… more
- HCA Healthcare (Denver, CO)
- …we do. We want you to apply! Job Summary and Qualifications The Advanced Clinical Pharmacist is responsible for providing all levels of pharmacy clinical ... interactions, allergies and appropriateness of drug and dose. Provide clinical consultation and clarification to practitioners. Suggest appropriate, cost-effective… more
- Versiti, Inc. (Milwaukee, WI)
- … clinical trial budgets, ensuring appropriate expenditures and resource utilization , while working with Versiti grants administration regarding local and national ... institute in the United States. With over 30 basic, translational, and clinical investigators, the institute is dedicated to advancing scientific knowledge and… more
- County of San Bernardino, CA (San Bernardino, CA)
- …with severely mentally ill adults/children. Experience in quality assurance or utilization review activities. Experience with intensive care coordination with ... Internship #1, San Bernardino County Dept of Behavioral Health, 08/2017-06/2018, Clinical Supervisor : Dr. Smith. Internship #2, Private Practice,… more
- St. Anthony Regional Hospital (Carroll, IA)
- …and reports to the appropriate Director or designee. Participates in development and review of standards of care, policies and procedures as appropriate. Serves as ... of quality care to meet patient needs and realistic expectations. Maintains clinical competence and provides direct patient care in the Emergency Department and… more
- CenCal Health (Santa Barbara, CA)
- …by the provider before service delivery. Conduct selective claims reviews. Apply utilization review principles, practices, and guidelines as appropriate for ... and reimbursement systems, and role of medical management activities Understand basic utilization review principles and practices Understand basic case and… more
