- Centene Corporation (Jefferson City, MO)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... either CST or EST time zone with experience in mental health settings and utilization management / review . **Position Purpose:** Performs a clinical review … more
- CVS Health (Austin, TX)
- … behavioral health background. Preferred Qualifications + 3 years Managed care/ utilization review experience preferred. + Crisis intervention skills and ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
- CVS Health (Springfield, IL)
- …applications (Teams, Outlook, Word, Excel, etc.) Preferred Qualifications- 2 + years of Utilization Management/ Utilization Review experience - 2+ years of ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program.- Applies critical thinking and is knowledgeable in… more
- Centene Corporation (Sacramento, CA)
- …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... the applicable state required. Master's degree for behavioral health clinicians required. Behavioral health clinical knowledge and ability to review and/or… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …attention-to-details, sound clinical assessment skills, familiarity with evidence-based practices, utilization review standards within a behavioral ... services and supports to children, youth, and families? The Utilization Review Analyst (URA) position will allow...0-18 and their families in Fairfax County. The URA ( Behavioral Health Senior Clinician ) provides utilization… more
- City and County of San Francisco (San Francisco, CA)
- …such as chart audit and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties as required. Nature of work requires ... County of San Francisco continuously accepts applications for all permanent Senior Behavioral Health Clinician 2932 positions. Rather than publishing separate… more
- City and County of San Francisco (San Francisco, CA)
- …and County of San Francisco continuously accepts applications for all permanent Behavioral Health Clinician 2930 positions. Rather than publishing separate job ... Housing and the Department of Public Health can then review your application and contact you directly with details...will follow from them Under general supervision, the 2930 Behavioral Health Clinician performs essential duties that… more
- Hartford HealthCare (Torrington, CT)
- …Licensed Clinician provides individual, group, couples, and family therapy. Utilization of evidenced based practices are supported. Clinicians are encouraged to ... **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** *Psychiatric Clinician (LCSW, LPC, LMFT) - Behavioral Health*… more
- Hartford HealthCare (Norwalk, CT)
- …Licensed Clinician provides individual, group, couples, and family therapy. Utilization of evidenced based practices are supported. Clinicians are encouraged to ... ** Behavioral Health* **Organization:** **St. Vincent's Medical Center* **Title:** * Behavioral Health Clinician II - Norwalk OP* **Location:**… more
- Universal Health Services (Highlands Ranch, CO)
- …to the Hospital are facilitated through coordinated efforts with the Business Office, Utilization Review and the Department of Nursing Services. Total Rewards ... Responsibilities Highlands Behavioral Health System is an 86 bed, acute...partial hospitalization, and intensive outpatient programs. www.highlandsbhs.com The Intake Clinician responds to all persons requesting assistance either by… more
- Atlantic Health System (Florham Park, 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
- City of Durham (Durham, NC)
- …service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management. + Ability ... with service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management? + No… more
- Humana (Columbus, OH)
- …put health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health) who will utilize their clinical skills to ... health services and/or benefit administration determinations. The Manager, Utilization Management ( Behavioral Health) applies a Person-Centered approach,… more
- City of Durham (Durham, NC)
- …service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management. + Ability ... health, substance use, and conflict mediation needs. The Crisis Response Clinician is responsible for behavioral health assessments, therapeutic interventions,… more
- Molina Healthcare (CA)
- **JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE** **For this position we are seeking a (RN) Registered Nurse with previous experience ... in Acute Care, Concurrent Review / Utilization Review / ...an integrated delivery of care across the continuum, including behavioral health and long term care, for members with… more
- Catholic Charities Family Community Services (Rochester, NY)
- …periodic updates and a closing letter. + Provides information for HMO and payer utilization review as required. + Participates in staff meetings and clinical ... Charities Family and Community Services is growing and seeking an** **Outpatient Behavioral Health Clinician ** **to join our family!** Catholic Charities Family… 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 ... to join our ED Crisis Team in Springfield, MA. The ED Crisis Clinician collaborates with Behavioral Health Crisis Clinicians, ED nursing, and providers to… more
- Wheeler Clinic (Hartford, CT)
- Part Time Gambling Disorders Clinician Hartford, CT, USA Req #1230 Monday, April 29, 2024 Wheeler's vision is that all people will have the opportunity to grow, ... of life. POSITION SUMMARY The Part Time Bettor Choice Integrated Health Care Clinician provides clinical and case management services adults 18+ in an integrated… more
- Molina Healthcare (Bronx, NY)
- …Medicare.** **We are looking for a LPN or LVN Care Review Clinician with Prior Authorization experience. Experience with Utilization Management (UM) is ... 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
- University of Virginia (Charlottesville, VA)
- …process for inpatients, emergency department discharge planning processes, frequent utilization of the emergency services system, and identification of members ... and be successful in achieving their health care goals. The Pre-Hospital Clinician for Community Paramedicine is an expanded role to connect underutilized resources… more