- Actalent (New York, NY)
- Job Title: Medical Necessity Appeals and Denials FacilitatorJob Description This role involves facilitating medical necessity appeals and denials, managing ... decisions. + Request additional information from providers to facilitate timely appeals resolution. + Gather and prepare case information for Administrative Law… more
- AmeriHealth Caritas (Philadelphia, PA)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... **Role Overview: ;** The Clinical Appeals Reviewer is responsible for processing appeals...managed care organization **Licensure:** + Current and unrestricted Registered Nurse (RN) licensure or compact state licensure **Skills &… more
- HCA Healthcare (Gainesville, FL)
- …to join an organization that invests in you as a Inpatient Authorization Review Services Behavioral Health Registered Nurse (RN) or Licensed Mental Health ... of our team. **Job Summary and Qualifications** The Inpatient Authorization Review Services Behavioral Health Registered Nurse or Licensed Mental Health… more
- City and County of San Francisco (San Francisco, CA)
- …✅ + THEN, submit your application Position(s) are located at the San Francisco Behavioral Health Center (SFBHC) formerly known as the Mental Health ... and Licensed Psychiatric Technicians. Work hours: The San Francisco Behavioral Health Center is open 24 hours...as a Licensed Psychiatric Technician or a Licensed Vocational Nurse providing psychiatric nursing care in a skilled facility… more
- State of Colorado (Pueblo, CO)
- Nurse Manager- Mid Level Provider - CMHHIP Nursing-...and a community partner. CMHHIP is a 24 hour behavioral health acute care facility that is ... requires collaboration with multiple disciplines. + Professional Nursing experience in Behavioral Health , Forensic, medical, and Geriatrics + Demonstrated… more
- State of Colorado (Pueblo, CO)
- Registered Nurse I - Nursing Residency Program - CMHHIP...and a community partner. CMHHIP is a 24 hour behavioral health acute care facility that is ... - Pueblo Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5145740) Apply Registered Nurse I - Nursing Residency Program - CMHHIP - Pueblo… more
- Cummins Behavioral Health Systems Inc. (Avon, IN)
- …with written Process Protocol. Essential Functions Include: Will provide behavioral health assessments/evaluations, medication management, psycho-education, and ... place. * If being part of a learning organization appeals to you, get in touch with us. *...will perform advanced behavioral health nursing in accordance with … more
- City and County of San Francisco (San Francisco, CA)
- …the work of multiple divisions - the San Francisco Health Network, Population Health , Behavioral Health Services, and Administration. The San Francisco ... promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides… more
- State of Colorado (Pueblo, CO)
- …mental health services, and a community partner. CMHHIP is a 24 hour behavioral health acute care facility that is intended to provide a safe, secure, ... Registered Nurse II- CMHHIP Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5130585) Apply Registered...Primary Physical Work Address In person at Colorado Mental Health Hospital in Pueblo, 1600 W. 24th Street, Pueblo,… more
- State of Colorado (Pueblo, CO)
- Nurse I - Registered Nurse I - CMHHIP...services, and a community partner. CMHHIP is a 24 hour behavioral health acute care facility that is intended ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5130579) Apply Nurse I - Registered Nurse I - CMHHIP Salary $43.80 - $61.31 Hourly Location… more
- Sacramento County (Sacramento, CA)
- …listed specializations, select none. + None + Adult health + Communicable disease + Behavioral health + Primary health 10 Select all of the boxes for ... 10/24/2025, 11/26/25, 12/26/25, 1/23/26, 2/27/26, 3/27/26, 4/24/26, 5/22/26, 6/26/26 Nurse Practitioners provide a range of health ...experience, select none. + None + Substance abuse + Behavioral health 11 Select the one box… more
- Commonwealth Care Alliance (Boston, MA)
- …medical care delivery and care coordination for the most complex medical and behavioral health patients. The RN participates in providing the highest quality, ... and care delivery. Within the CIC Program, the Registered Nurse (RN) serves as an integral member of an...Plan Care Team members, CIC Advanced Practice Clinicians, Community Health Workers, Behavioral Health Clinicians,… more
- State of Colorado (Golden, CO)
- …Data and Reporting: Collects and reports monthly statistical data for required for Behavioral Health and Medical Services, and the KPI's for the facility. ... Lead Mid-Level Provider / Nurse Practitioner - Campus at Lookout Mountain Youth...on needs of facility. Purpose of this Position: Deliver health care to detained, pre-trial, and committed youth. Primary… more
- State of Colorado (Pueblo, CO)
- …education groups for youth. Collects and reports monthly statistical data required for Behavioral Health and Medical Services, and the critical incidents related ... Mid-Level Provider / Nurse Practitioner - Pueblo Youth Services Center Print...https://www.colorado.gov/cdhs/dys Description of Job Purpose of this Position: Deliver health care to detained, pre-trial, and committed youth. Primary… more
- State of Colorado (Denver, CO)
- …Data and Reporting: Collects and reports monthly statistical data for required for Behavioral Health and Medical Services, and the KPI's for the facility. ... Lead Mid-Level Provider / Nurse Practitioner - Gilliam Youth Services Center -...on needs of facility. Purpose of this Position: Deliver health care to detained, pre-trial, and committed youth. Primary… more
- Intermountain Health (Billings, MT)
- …+ LPNs hired into hospital departments that do not include a long-term care or behavioral health setting must be enrolled and complete their RN within 4 years. ... **Job Description:** The Licensed Practical Nurse (LPN) performs a variety of delegated nursing...guided by registered nurses, licensed physicians, or other specified health care professionals. **Ortho Unit Info and Fun Facts:**… more
- State of Colorado (Jefferson County, CO)
- …resident health issues, approves PRN medications and treatments and unscheduled health care services and responds to resident behavioral problems that may ... NURSE II - Wheat Ridge Regional Center *PAY...work unit: This work unit exists to provide quality health care, personal hygiene maintenance and an active learning… more
- Brighton Health Plan Solutions, LLC (NC)
- …criteria sets * Experience with both inpatient and outpatient reviews including Behavioral Health , DME, Genetic Testing, Clinical Trials, Oncology, and/or ... provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with… more
- Sacramento County (Sacramento, CA)
- …Psychiatric Nurse (https://www.governmentjobs.com/careers/sacramento/jobs/981663/psychiatric- nurse ?keywords=psychiatric&pagetype=jobOpportunitiesJobs) , Public ... Health Nurse Level I/II (https://www.governmentjobs.com/careers/sacramento/jobs/980990/public- health - nurse -level-i-ii?keywords=public%20health%20assistant&pagetype=jobOpportunitiesJobs) In a detention/correctional facility, the… more
- Sacramento County (Sacramento, CA)
- Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply Licensed Vocational Nurse D/CF Salary ... 4/3/2026, 7/2/2026, 10/2/2026 In a detention/correctional facility, the Licensed Vocational Nurse D/CF performs a wide variety of vocational nursing duties,… more