- Brockton Hospital (Brockton, MA)
- POSITION SUMMARY: The Utilization Review Specialist - Behavioral Health works collaboratively with Administration, Coding, Physicians, Nursing, Social ... entities to secure certification/ reimbursement. Maintains data for required auditing, utilization review , reporting and performance improvement. As prescribed… more
- Sutter Health (Berkeley, CA)
- …with hospital administration, medical staff, patient registration and representatives of review organizations and others to ensure effective utilization of ... to justify acute hospital admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for concurrent … more
- Baylor Scott & White Health (Dallas, TX)
- …Note: Benefits may vary based on position type and/or level **Job Summary** Utilization Review Specialist conducts reviews and shares knowledge with ... Success Factors** + Experience working with Substance use treatment experience and/or behavioral health treatment + Experience with Utilization Management for… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is ... responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD)… more
- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review Specialist to our growing team. The Utilization ... admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for… 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
- Stony Brook University (Stony Brook, NY)
- Per Diem - Behavioral Health Specialist **Position Summary** At Stony Brook Medicine, our Behavioral Health Specialist : + Orients patients to treatment ... position responsibilities and in accordance with state agency regulations. **Duties of a Behavioral Health Specialist may include the following but are not… more
- LifePoint Health (Sylva, NC)
- …Management/Social Services* **Organization:** ** **Title:** *Licensed Clinical Social Worker- Behavioral Health Specialist - PRN* **Location:** *NC-Sylva* ... 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
- Granville Medical Center (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
- LifePoint Health (Louisburg, NC)
- Registered Nurse (RN) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound commitment to ... of those we serve. Connect with our RN recruiting specialist . Do you need more time to complete an...the responsibilities involved in monitoring adherence to the hospital's utilization review plan, which ensures the appropriate… more
- BriteLife Recovery (Hanover, PA)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... BEHAVIORAL HEALTH TECHNICIAN/DRIVER Do you work for a...Part-time + High School Diploma + Preferred, Certified Recovery Specialist (CRS), or willingness to pursue + Valid Driver's… more
- BriteLife Recovery (Hanover, PA)
- …+ Under the direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, limit ... BEHAVIORAL HEALTH TECHNICIAN/DRIVER Do you work for a...TIME + 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
- STG International (Milledgeville, GA)
- …to the needs related to diagnoses of Veterans with PTSD, TBI, history of behavioral disorders, and substance use issues. If you have compassion and a passion to ... forms, reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions, etc.,… more
- HCA Healthcare (Richmond, VA)
- …acute inpatient rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...we encourage you to apply for our Clinical Rehab Specialist PRN opening. We review all applications.… more
- City of Durham (Durham, NC)
- …coverage policies (NC Service Definitions, ie ACT, CST IOP, SACOT, Innovation Wavier), utilization review , and data management. + Knowledge of: + the signs ... Street Outreach Specialist Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/4923157) Apply Street Outreach ...Service Definitions, ie ACT, CST IOP, SACOT, Innovation Wavier), utilization review , and data management? + No… more
- HCA Healthcare (Nashville, TN)
- …treatment is reimbursed by contacting managed care organizations and completing initial utilization review . Documents in Midas as required. Involves mobile ... any other healthcare provider. We are seeking a(an) Assessment Specialist PRN to join our healthcare family. **Benefits** TriStar...patients in regard to managed care organizations + Conducts utilization review for managed care cases in… more
- HCA Healthcare (Sugar Land, TX)
- …growth, we encourage you to apply for our Consulting Provider Services Specialist opening. We promptly review all applications. Highly qualified candidates ... care like family! Jump-start your career as a Consulting Provider Services Specialist today with HCA Houston Healthcare. **Benefits** HCA Houston Healthcare, offers… more
- State of Colorado (Denver, CO)
- …Social Work/Counselor III - Behavior Health Specialist - (Parole - Westminster/Aurora Region) Print ... Apply CDOC Social Work/Counselor III - Behavior Health Specialist - (Parole - Westminster/Aurora Region) Salary $6,885.00 - $9,639.00… more