- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …an experienced utilization review nurse, a sharp case manager, or a behavioral health clinician ready to make an impact behind the scenes, this is your ... This isn't floor work-it's clinical leadership with purpose. What You'll Do: Review inpatient, outpatient, and behavioral health service requests for medical… more
- Molina Healthcare (Long Beach, CA)
- …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
- InterCommunity, Inc. (Hartford, CT)
- …practices) Ensures ASAM criteria is clearly documented within time frames and utilization review process is completed within time frames. Performs related ... of life situation or ability to pay. We also provide a wide array of behavioral health services. Our community Health Care Centers are located at 281 Main St. East… more
- Blue Cross and Blue Shield of Minnesota (Duluth, MN)
- …(RN) licensed in the state of Minnesota with psychiatric experience, or a Behavioral Health Professional who is a clinician licensed for independent practice ... Required Skills and Experiences Registered Nurse with Psychiatric experience or Behavioral Health Professional that is Clinician licensed for independent… more
- Integral Care (Austin, TX)
- …Clinical Social Worker, LCSW, Licensed Marriage and Family Therapist, LMFT, Behavioral Health Therapist, Psychotherapist, Senior Clinician , Licensed Clinician ... needs utilizing assessment, multidisciplinary coordination, and efficient clinically appropriate utilization of agency resources. Duties include collaboration with consumers,… more
- SpringHealth Behavioral Health and Integrated Care (San Antonio, TX)
- …all updates to State and Federal Regulations regarding services provided In-service behavior clinician (s) on all changes made to regulations. Review all billing ... Our Company SpringHealth Behavioral Health and Integrated Care Overview Behavior Clinic...and professional teams. Provide staff/family training on implemented programs. Review all Functional Behavior Assessments/Behavior Support Plans prior to… more
- Navvis (Corvallis, OR)
- …improve patient outcomes, reduce unnecessary care variation, reduce unnecessary utilization , and enhance care coordination. Ensuring delivery of optimal, medically ... Monitor key performance indicators (KPIs) related to quality, cost, and utilization across all value-based contracts. Lead efforts to analyze performance data,… more
- Lorenz Clinic (Wayzata, MN)
- …refill requests from client and/or pharmacies and prepares them for prescribing clinician review . Reviewing each patient's chart for recent psychiatry notes ... patients and coordinating/providing patient care around medication management in an outpatient behavioral health clinic for patients with a wide range of … more
- Connections Health Solutions (Woodbridge, VA)
- …$4.50/hr shift differential - Weekend Days (Saturday, Sunday) We're not just behavioral health people-we're crisis people. Connections Health Solutions is a leading ... provider of immediate-access behavioral health crisis care. Our team combines medical and...risk assessment, and discharge planning. Serves as the attending clinician to specified individuals. Completes initial psychiatric assessments, crisis… more
- OptiMindHealth (Reading, MA)
- …Part-Time FLSA Status: Non-Exempt Location: Reading , 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
- 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
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