- Commonwealth Care Alliance (Springfield, MA)
- …require intensive care management and care delivery. Within the CIC Program, The Senior Clinician , Behavioral Health (SBHC) serves as a leader for behavioral ... clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for behavioral health...episodic or urgent visits to maintain expected productivity. + Review members' quality gaps prior to every visit and… more
- Commonwealth Care Alliance (Springfield, MA)
- …of CCA's patients incorporates the care of individuals with significant medical, behavioral , and social complexities that require intensive care management and care ... and care coordination for the most complex medical and behavioral health patients. The CHW participates in aiding the...the outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment and closing gaps in care… more
- Commonwealth Care Alliance (Boston, MA)
- …Team and Primary Care Provider (PCP) or specialty care providers (eg, behavioral health clinician ). + CHWs utilize recovery-centered strategies, harm reduction ... coaching skills to improve CCA enrollee outcomes by impacting care access and utilization , closing care quality gaps, and optimizing member connection to medical, … more
- InterDent (Portland, OR)
- …region Organizational Support Partner with the Group President on contract review , provider agreements, and vendor partnerships Communicate regularly with clinical ... implement, and monitor clinical guidelines, quality improvement initiatives, and utilization management processes to enhance patient outcomes and optimize resource… more
- Alameda Health System (San Leandro, CA)
- …staff, visitors, and volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of Alameda County, AHS, and ... acute psychiatric care. 3. Liaison with Alameda County Healthcare Services Agency, Behavioral Healthcare Services, Office of Patients' Rights and other health system… more
- Centene Corporation (Nashville, TN)
- …**Registered Nurse (RN) or licensed clinician only. 2-4 years of behavioral health utilization management experience.** **Must have a current state's ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
- Centene Corporation (San Diego, CA)
- …is required. + Direct experience with Utilization Review or Utilization Management related to Behavioral Health case is preferred + Clinical knowledge ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… 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
- 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 ... in applied behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: Corporate / Florida… more
- Molina Healthcare (Reno, NV)
- **Job Description** **Job Summary** Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services. Responsible for ... quality and cost-effective member care. **Knowledge/Skills/Abilities** * Assesses applied behavioral analysis (ABA) services for members - ensuring optimum outcomes,… 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 (Morristown, NJ)
- …relapse prevention, and self-management strategies. 04. Provides brief, evidence-based behavioral interventions such as behavioral activation, cognitive behavior ... with medical practice team(s) to build effective relationships, promote service utilization , and provides in-service education as needed to support program… more
- Molina Healthcare (WA)
- …Hours .** JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that ... with multidisciplinary teams to promote Molina care model. * Adheres to utilization management (UM) policies and procedures. * May work collaboratively with… more
- Molina Healthcare (NM)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN (preferred) or LPN with a compact license who resides in New Mexico or Texas. This team ... degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of… 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 ... Crisis Clinician to join our ED Crisis Team. The ED Crisis Clinician collaborates with Behavioral Health Crisis Clinicians, ED nursing, and providers to… more
- Hartford HealthCare (Norwich, CT)
- …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... and then to the student's home. *_Job Summary_* Lead Behavioral Health Clinician works in coordination with interdisciplinary teams to organize, prepare,… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …providers to ensure appropriate service utilization . The Placement Stabilization Clinician works closely with the Behavioral Health Unit to coordinate ... Clinical Review - Essential Function: In partnership with the Behavioral Health and MDT coordinators, jointly reviews clinical service intervention, participates… more
- Molina Healthcare (NM)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
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