- Compass Health Network (Missouri City, MO)
- …criteria specific to insurance companiesProvide licensure supervision, if applicablePerform Utilization Review activities as assignedRegular attendance (except ... health issues; developing joint plans with providers on behavioral health aspects of patient care ; brief...providers on behavioral health aspects of patient care ; brief assessment and referral, behavioral interventions,… more
- Compass Health Network (High Ridge, MO)
- …specific to insurance companies* Provide licensure supervision, if applicable* Perform Utilization Review activities as assigned* Regular attendance (except as ... health issues; developing joint plans with providers on behavioral health aspects of patient care ; brief...providers on behavioral health aspects of patient care ; brief assessment and referral, behavioral interventions,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …on a designated shift including the effective and efficient allocation, utilization , and management of the financial, human, and material resources. Demonstrates ... Educational Requirements: Preferred Experience: Two years experience in practice of Behavioral Health Nursing.Other: Job Specific and Unique Knowledge, Skills and… more
- Marion County (Salem, OR)
- …on breaking down barriers and silos with an eye toward whole person-centered care , trauma-informed practices, and behavioral health access for all.Build positive ... planning, development, support and delivery of efficient and high-quality mental health, behavioral health or health administration services with a broad scope of… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and promoting staff development.* Responsible for the utilization and continued review of patient care protocols, standards of practice, and standards of ... replicate across the country. Our services include a state-of-the-art psychiatric urgent care center and a soon-to-be-built pediatric behavioral health center,… more
- Compass Health Network (Camdenton, MO)
- …of utilization management criteria.Maintain agreed upon level of customer care requirementsWill provide culturally competent services to meet the unique cultural ... in Missouri required Compass Health Network is a nonprofit health care organization offering accessible, comprehensive, & compassionate behavioral health,… more
- MedPro Healthcare Staffing (Baltimore, MD)
- …Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review , Case Manager RN*Weekly payment estimates are intended ... a variety of settings, including HMOs, community health organizations, long-term care facilities, behavioral health programs, rehabilitation centers, schools,… more
- Compass Health Network (Camdenton, MO)
- …(PLPC/LPC/PLMFT/LMFT/LMSW/LCSW) Compass Health Network is a nonprofit health care organization offering accessible, comprehensive, & compassionate behavioral ... are eager to continue to provide quality and compassionate care in our service areas and need you to...ICTS program's aim is to reduce the (re)incarceration of behavioral health consumers under Division of Probation and Parole… more
- Compass Health Network (Camdenton, MO)
- …a $4000 sign-on bonus.* We are eager to continue to provide quality and compassionate care in our service areas and need you to make this happen! The Therapist ICTS ... Miller Counties. The ICTS program's aim is to reduce the (re)incarceration of behavioral health consumers under Division of Probation and Parole (P&P) supervision by… more
- Sutter Health (Berkeley, CA)
- …clinical nursing staff and others to ensure appropriate utilization and quality care through utilization review , tracking and evaluation and objectively ... issues and length of stay as received from managed care or third party payors. Appeal adverse review...nursing staff and other departments regarding documentation required for utilization review activities and processes. Collaborate with… more
- Centene Corporation (Tallahassee, FL)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... MONDAY-FRIDAY, 8AM - 5PM. THESE ROLES WILL BE SUPPORTING BEHAVIORAL HEALTH UTILIZATION MANAGEMENT FOR MEDICAID. **Position...healthcare teams to review care services related to mental health… more
- Universal Health Services (Savannah, GA)
- Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator ( Per Diem/or As Needed ) To coordinate and direct Utilization ... enabling patients to concentrate on treatment. Job Duties/Responsibilities: + Perform the utilization and review process, for continued stay, in an appropriate… more
- Centene Corporation (Austin, TX)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to...healthcare teams to review care services related to mental health… more
- UNC Health Care (Chapel Hill, NC)
- … episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance with… more
- Humana (Columbus, OH)
- …or Interqual Guidelines + Possess subject matter expertise in Utilization Review of inpatient and outpatient behavioral health services + Experience with ... put health first** Humana Healthy Horizons is seeking a Utilization Management Behavioral Health Professional 2 who...verb here. It's up to each of us to care for it and maintain it. Because the relationships… more
- CVS Health (Salt Lake City, UT)
- …care setting such as ambulatory care or outpatient program- Managed care and utilization review experience preferred.- Crisis intervention skills ... critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health. Utilizes… more
- Trinity Health (Maywood, IL)
- …the daily caseloads of the UR/UM teams. This includes utilization review of inpatient medical and behavioral health services to assess appropriateness ... quality of care , mitigate cost trends through supporting optimization of utilization review for medical necessity using established care guidelines… more
- Tenet Healthcare (Detroit, MI)
- …appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. (5% daily, essential) ... RN Utilization Review FT Days - 2305004256...RN Utilization Review FT Days - 2305004256 Description : The...preferred. At least two (2) years acute hospital or Behavioral Health patient care experience required. One… more
- Beth Israel Lahey Health (Burlington, MA)
- …Description:** The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and ... States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full...care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ability to communicate… more
- HCA Healthcare (Largo, FL)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital you can ... in our organization. We are looking for an enthusiastic Utilization Review RN to help us reach...care program . Minimum of three years recent behavioral health inpatient or related health care … more
