- Sutter Health (Berkeley, CA)
- …and others to ensure appropriate utilization and quality care through utilization review , tracking and evaluation and objectively compare criteria with ... nursing staff and other departments regarding documentation required for utilization review activities and processes. Collaborate with...in lieu of the required degree or diploma_ Department, Behavioral Health : Master's in Social Work or… 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 Review functions, monitoring the ...to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory… more
- Centene Corporation (Tallahassee, FL)
- …WORK SCHEDULE IS MONDAY-FRIDAY, 8AM - 5PM. THESE ROLES WILL BE SUPPORTING BEHAVIORAL HEALTH UTILIZATION MANAGEMENT FOR MEDICAID. **Position Purpose:** ... accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH)...health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review… more
- Centene Corporation (Austin, TX)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and...health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review… more
- Universal Health Services (Conway, SC)
- …Review Coordinator. Utilization Review / Risk Management Lighthouse Behavioral Health Hospital is a 105-bed, acute care psychiatric hospital located ... Responsibilities Job Posting Lighthouse Behavioral Health Hospital is hiring for...its 300+ Subsidiaries! Flexible Schedule Qualifications Job Requirements The Utilization Review Coordinator position will consist of… more
- Trinity Health (Maywood, IL)
- …teams. This includes utilization review of inpatient medical and behavioral health services to assess appropriateness of level of care and collaborate ... our small but mighty team to guide and manage Utilization Review and Management for the Loyola... and Management for the Loyola Physician Partners LPP) Health Plan, a delegated entity for BCBS HMO Medicare… more
- Spokane County (Spokane, WA)
- … Administrative Services Organization Integrated Care and the Behavioral Health Administrative Services Organization Utilization Review Integrated Care. ... Bureau. + Performs other related duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care… more
- Emanate Health (Covina, CA)
- …State of California, and hospital policies, goals, and objectives. Completes Utilization Review of Behavioral Health Services. Charge Nurse will have ... **Current Emanate Health Employees - Please log into your Workday account to apply** Everyone at Emanate Health plays a vital role in the care we deliver. No… more
- Charter Care Health Partners (Providence, RI)
- …Degree in Social Work Experience: Minimum of 5 years clinical experience in acute behavioral health . Utilization review and inpatient behavioral ... other specialties on the unit. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care Management, Discharge… more
- Charter Care Health Partners (North Providence, RI)
- …Degree in Social Work Experience: Minimum of 5 years clinical experience in acute behavioral health . Utilization review and inpatient behavioral ... other specialties on the unit. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care Management, Discharge… more
- CVS Health (Frankfort, KY)
- …schedule based on business needs Preferred Qualifications: + Managed care/ utilization review experience preferred + Experience in a behavioral health ... clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus.… more
- Banner Health (Scottsdale, AZ)
- … systems and help make our patients' lives easier. Apply today. Bring your passion for Behavioral Health to Banner Health ! **Banner Behavioral Health ... in 2017, providing new, state-of-the art units for our patients and staff! Banner Behavioral Health Hospital is a voluntary facility for adults and adolescents.… more
- CVS Health (Salt Lake City, UT)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health . Utilizes clinical experience and skills in a ... - Must have active current and unrestricted Independent clinical behavioral health license in the state of...as ambulatory care or outpatient program- Managed care and utilization review experience preferred.- Crisis intervention skills… more
- UNC Health Care (Chapel Hill, NC)
- …organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Utilization Manager ... episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to… more
- Universal Health Services (Doylestown, PA)
- Responsibilities Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, ... including peer reviews and appeals, in accordance with the Utilization Review Plan, for patient population ages...population ages 5 years through 21 years, with significant behavioral health needs and Autism Spectrum Disorders… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm potential ... Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality assurance for Lahey… more
- Universal Health Services (Scottsdale, AZ)
- Responsibilities Utilization Review Coordinator Via Linda Behavioral Hospital is a brand-new behavioral health provider serving Scottsdale and the ... site virtually and much more online at: vialindabehavioral.com The Utilization Review Coordinator reports to the ...LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral Health licensure preferred. + One year-experience… more
- Universal Health Services (Harahan, LA)
- …psychiatric mental health population desired. 2-3 years experience in Utilization Review . Management experience preferred. + Education: Bachelors prepared ... River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW DIRECTOR to direct and serve...through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities, and… more
- Ascension Health (Wichita, KS)
- **Details** + **Department:** Utilization Review - Behavior Health + **Schedule:** PRN, Rotating Shift, and Rotating Weekends and Holidays + **Hospital:** ... nursing OR Required professional licensure at time of hire. **Additional Preferences** Behavioral Health and/or Utilization Management experience preferred… more
- Universal Health Services (Memphis, TN)
- …5-7 years of experience in utilization management for both mental health and substance abuse behavioral health disorders. Licensure/Certification: Valid ... Responsibilities Lakeside Behavioral Health System provides an excellent...patient length of stay and level of care. Oversees utilization review activities with other departments to… more