- Sanford Health (Thief River Falls, MN)
- …- $41.50 **Department Details** Come join our Behavioral Health team as a Utilization Review Specialist utilizing a team-based approach to patient care ... clinical setting required. Preference given to individuals with experience in utilization or with CPT/ICD knowledge. Currently holds an unencumbered Licensed… more
- Spectrum Billing Solutions (Skokie, IL)
- …billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management ... | UR Specialist | Revenue Cycle Utilization Review Specialist | ABA...Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing Specialist… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...of care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround… more
- HCA Healthcare (San Antonio, TX)
- …we encourage you to apply for our Clinical Pharmacist Specialist Behavioral Health opening. We promptly review all applications. Highly qualified candidates ... you have the career opportunities as a(an) Clinical Pharmacist Specialist Behavioral Health you want with your...multidisciplinary and bedside rounds + You will complete drug utilization reviews to promote rational drug therapy and implement… more
- LifePoint Health (Sylva, NC)
- …or local law. **Job:** ** Behavioral Health* **Organization:** ** **Title:** * Behavioral Health Specialist - PRN* **Location:** *NC-Sylva* **Requisition ID:** ... comprehensive first evaluation for patients in the involuntary commitment process. Behavioral Health responsibilities in this role may include: group therapy;… more
- Granville Health System (Oxford, NC)
- …case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; developing, ... level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients who… more
- Spokane County (Spokane, WA)
- …Integrated Care and the Behavioral Health Administrative Services Organization Utilization Review Integrated Care. TOTAL COMPENSATION: $85,812 - $120,126 ... duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator: + Performs utilization… more
- McLaren Health Care (Pontiac, MI)
- …and continued stay authorization. 4. Educates health team colleagues about utilization review , including role responsibilities tools, and methodologies. 5. ... certification. 7. Applies readmission quality screens during concurrent and retrospective case review and reviews cases, which do not meet screening criteria to… more
- Highmark Health (Columbus, OH)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... care services, application of criteria to assure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management,… more
- Hartford HealthCare (Meriden, CT)
- …levels of Rushford access to care including customer service representatives, admission specialist in the Call Center, Utilization Management for residential ... receive a exceptional customer services and ease of access. *Job Responsibilities* 1. Review , revise and develop policy and procedures as they relate to access… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST - F/C - 67056731 APD/ DDDP CHATTAHOOCHEE, FL Date: Sep 16, 2024 The State Personnel System is an E-Verify employer. For more information ... No: 837602 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - F/C - 67056731 APD/ DDDP CHATTAHOOCHEE, FL Pay Plan: Career… more
- LA Care Health Plan (Los Angeles, CA)
- …in a case/care management environment. Preferred: Experience in utilization review , skilled nursing, home health, discharge planning, behavioral health, ... Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed...care, home care, or case management. OR experience in Utilization Review or Care Management will be… more
- BriteLife Recovery (Hanover, PA)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... "PART- TIME" BEHAVIORAL HEALTH TECHNICIAN/ DRIVER Do you work for...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS), or willingness to pursue + Valid Driver's… more
- Burrell Behavioral Health (Nixa, MO)
- …responsive to all Quality Assurance procedures of the system, cooperates with utilization review procedures, and follows established procedures, rules and ... Job Description: Job Title: Lead Therapeutic Specialist Location: Nixa, MO Department: Youth Residential Employment...Telemedicine - 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits + Employee Assistance Program… more
- BriteLife Recovery (Hanover, PA)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... "PRN WEEKENDS" BEHAVIORAL HEALTH TECHNICIAN/ DRIVER Do you work for...PRN + High School Diploma + Preferred, Certified Recovery Specialist (CRS), or willingness to pursue + Valid Driver's… more
- 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 ... Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management...Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM),… more
- Burrell Behavioral Health (Hannibal, MO)
- Job Description: Job Title: Community Support Specialist LeadLocation: Hannibal, MODepartment: Clarity HealthcareEmployment Type: Full TimeShift: Monday - Friday ... Job Summary:Are you a passionate and dedicated Community Support Specialist looking to make a positive impact in the...complete related correspondence in a timely manner. + File Review and Compliance: Assist in file reviews, ensuring treatment… more
- Burrell Behavioral Health (Indianapolis, IN)
- …and contract maintenance. + Embrace quality assurance procedures and cooperate with utilization review processes. Adhere to the established rules, procedures, ... Job Description: Job Summary: The School-Based Support Specialist is responsible for facilitating a smooth transition for individuals into community living. They… more
- Commonwealth of Pennsylvania (PA)
- …calls, personal visits, and review of treatment progress reports; conduct utilization review . Orient clients to the program, policies, procedures, and ... progress of clients or discharge planning via telephone, personal visits, or review of treatment progress reports; conducting utilization reviews; AND orienting… more
- US Marine Corps (Marine, IL)
- …part of the Community Counseling Program. This position serves as Clinical Specialist in both Community Counseling Program and Marine Intercept Program. The Clinical ... Specialist will consist of 50% Community Counseling and 50%...coping and other factors which detract from an individual's behavioral health. Serves as Subject Matter Expert (SME) on… more