- 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
- Universal Health Services (Willoughby, OH)
- Responsibilities Windsor Laurelwood Center for Behavioral Medicine Utilization Review Clinician We are looking for a Utilization Review ... to join our team! In this role as UR Clinician you will perform admission and concurrent review...through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care… 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 (Frankfort, KY)
- …Qualifications Knowledge of mental health and substance abuse disorders. Managed care/ utilization review experience Crisis intervention skills Position requires ... opportunities to promote quality effectiveness of healthcare services and benefit utilization * Consults and lends expertise to other internal and external… more
- Centene Corporation (Phoenix, AZ)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... **must reside in the state of Arizona** **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and… 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
- Molina Healthcare (Long Beach, 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
- 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
- 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. The ED Crisis Clinician collaborates with Behavioral Health Crisis Clinicians,...for gathering a psychosocial evaluation through interviews and record review and completing a written assessment with case formulation… more
- Wheeler Clinic (Hartford, CT)
- Part Time Gambling Disorders Clinician Hartford, CT, USA Req #1230 Wednesday, June 5, 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 (Dallas, TX)
- …degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of ... OR a clinical license in good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able to travel within applicable… 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
- Molina Healthcare (Los Angeles, CA)
- …will move to a 3 day/12 hour shift from then on._** **_Previous experience with Utilization Management / Utilization Review is very essential to this role. ... 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
- HCA Healthcare (Asheville, NC)
- …guidelines. Participates in developing department goals and clinical programming.** + **Performs utilization review as assigned.** + **Helps with Process and ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...we encourage you to apply for our Mental Health Clinician opening. We promptly review all applications.… more