- CVS Health (Washington, DC)
- …No weekends or holidays. + 1+ years of utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in a ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
- Elevance Health (Arlington, VA)
- …to client needs, and direct, hands-on engagement. The **LTSS Service Coordinator RN Clinician ** is responsible for overall management of member's case within the ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
- Molina Healthcare (Woodbridge, VA)
- …Behavioral health services. Strongly prefer candidates with a background on utilization management or appeals. Excellent computer multi-tasking skills and ... Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
- CenterWell (Washington, DC)
- …care that affect patient care and population management , such as quality management , utilization management , network management , and payment ... patients at national scale. S/he will be a proven clinician , leader, and strategist capable of driving the highest...quality/STARS, efficiency of care, and improved clinical outcomes and utilization . + Identify and act on opportunities to better… more
- KSA Integration LLC (Arlington, VA)
- …experience post degree in psychiatric and/or substance abuse health care setting, including utilization review. + Requires a Master's level clinician with a MA, ... DHA, DoD, or VA healthcare programs. + Familiarity with behavioral health coaching models or case management ...with behavioral health coaching models or case management practices. + Previous Experience working with the Veteran… more