• Physician Assistant/Nurse Practitioner…

    Arab Community Center for Economic and Social Serv (Dearborn, MI)
    Physician Assistant/Nurse Practitioner ( Behavioral Health ) Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=3075437&source=3075437-CJB-0) Job Title: Physician Assistant/Nurse Practitioner Job Status: Part-time Job Summary: Under… more
    Arab Community Center for Economic and Social Serv (11/14/24)
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  • Nursing Supervisor - Behavioral

    Whitney Young Health Center (Albany, NY)
    …customer service. + Completes other duties as assigned by the program physician and/or behavioral health director. Requirements MINIMUM ... Nursing Supervisor - Behavioral Health (Req 100680) Albany, NY...Carry out the medical orders of the Medical Doctor/Program Physician /Nurse Practitioner. + Complete a nursing assessment (including mental… more
    Whitney Young Health Center (10/14/24)
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  • Medical Director/ Physician

    Lincoln County (Newport, OR)
    …the State of Oregon at the time of appointment. Desirable Qualifications + For a physician : behavioral health experience is preferred. + For a family nurse ... clinic, graduation from an accredited medical school and completion of 1-year internship. Behavioral health experience is preferred. + For a family nurse… more
    Lincoln County (11/21/24)
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  • Behavioral Health Medical Director

    Kepro (Indianapolis, IN)
    …reviews. The Medical Director will be responsible for providing leadership to the Behavioral Health physician reviewers. Moreover, the Medical Director will ... the public sector. Acentra is looking for a Part-Time Behavioral Health Medical Director to join our...responsibility in a hospital setting. + Utilization Management (UM) review experience. + Experience as a physician more
    Kepro (11/28/24)
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  • Clinical Reviewer - Behavioral

    Kepro (AR)
    …for health solutions in the public sector. Acentra is looking for a Clinical Reviewer - Behavioral Health - PRN (Remote within Arkansas) ** The selected ... relevant Arkansas Medicaid regulations and referring services to the Physician Reviewer for medical necessity determination if...determination if warranted. + Acts as a liaison for Behavioral Health Providers regarding the review more
    Kepro (11/21/24)
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  • Utilization Management Reviewer

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …highly dedicated and motivated team of professionals, including medical and behavioral health care managers, dieticians, pharmacist, clinicians, medical ... + Understand and appropriately manages member's benefits to maximize health care quality + Collaborate with physician ...We're Looking for : + Solid clinical knowledge in Behavioral Health . Specialty knowledge a plus +… more
    Blue Cross Blue Shield of Massachusetts (10/25/24)
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  • Clinical Reviewer - Remote within Maine…

    Kepro (Portland, ME)
    …for ensuring the accuracy and consistency of the Psychiatric Inpatient Concurrent Review process. This full-time Clinical Reviewer Remote position based in ... lAcentra seeks a Clinical Reviewer to join our growing team. Job Summary...must reside and work in Maine. Job Responsibilities: + Review and interpret patient records against established criteria to… more
    Kepro (11/13/24)
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  • Senior Contracts Administrator / Managed Care…

    Hartford HealthCare (Hartford, CT)
    …etc.) and external (Payers) stakeholders regarding HHC/ICP contracts specific to hospital, physician , behavioral health and ancillary. The role will ... Communications, etc.) and external (Payers) stakeholders regarding contracts related to hospital, physician , ancillary and behavioral health services for… more
    Hartford HealthCare (10/23/24)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician more
    HCA Healthcare (11/21/24)
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  • HMSA Care Manager - BH, UM Reviewer

    Magellan Health Services (Honolulu, HI)
    …LCSW, LSW, LPC or RN. Minimum 2 years experience post degree in healthcare, behavioral health , psychiatric and/or substance abuse health care setting. Strong ... members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings.… more
    Magellan Health Services (11/21/24)
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  • Remote Clinical Quality Reviewer

    Chenega Corporation (NM)
    …license in appropriate state. + 3 years clinical experience (medical, surgical, and or behavioral health ). + Must be able to receive a favorable Interim and ... company, is looking for a fully remote **Clinical Quality Reviewer ** to ensure compliance with the contract, and program...and URAC standards for consistency. Supports activities of peer review and quality and safety committees. Our company offers… more
    Chenega Corporation (11/26/24)
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  • Genetic Counselor Clinical Reviewer

    The Cigna Group (Bloomfield, CT)
    …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... Management. Handles moderately complex medical review , utilization review , credentialing/re-credentialing, quality assurance/improvement, and/or health education… more
    The Cigna Group (11/27/24)
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  • Assessment Referral Specialist

    HCA Healthcare (San Antonio, TX)
    …patients in the emergency department to include making recommendations to the requesting physician concerning behavioral health needs and arranges for ... services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed… more
    HCA Healthcare (09/05/24)
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  • Consultant, Behavioral Health I

    Lincoln Financial Group (Columbus, OH)
    …specialists and physician consultants. * Clarifies, interprets, and/or evaluates behavioral health clinical information to assess appropriateness of current ... year in claims, disability management (STD/LTD), worker's compensation, utilization review , and or behavioral health ...(STD/LTD), worker's compensation, utilization review , and or behavioral health case management . Certified Case… more
    Lincoln Financial Group (11/22/24)
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  • Physician Assistant

    SOS International LLC (El Paso, TX)
    …by the physician . + Performs history and physical assessment, behavioral health care, minor outpatient procedures, patient education, and refers ... or a US territory. Must be accredited by the Accreditation Review Commission on Education for Physician Assistant (ARC-PA) or one of its predecessors. + The… more
    SOS International LLC (11/27/24)
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  • UMMG Staff Physician - Psychiatry…

    University of Miami (Miami, FL)
    …Specific Functions Provides Holiday and Weekend On Call coverage for Jackson Behavioral Health Hospital. The University of Miami offers competitive salaries ... records and interviews with the patient, family members, caregivers, and other health professionals. + Reports to the responsible physician and complies… more
    University of Miami (09/11/24)
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  • Adult Single Point of Access Program Associate

    CCSI INC (Johnson City, NY)
    …Mental Health Staff Personin accordance with 14 NYCRR 595;OR + Non- Physician Licensed Behavioral Health Practitioner(NP-LBHP) in accordance with 14 ... City, NY (http://maps.google.com/maps?q=501+Reynolds+Road+Johnson+City+NY+USA+13790) * Broome County Department of Mental Health Job Type Full-time Description Adult Single Point of… more
    CCSI INC (11/23/24)
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  • Utilization Review Specialist,…

    Sutter Health (Berkeley, CA)
    …from accidental, intentional, or inappropriate disclosure. **DEPARTMENT REQUIRED EDUCATION** Department, Behavioral Health : Master's in Social Work or related ... of physician , nursing, and ancillary services. Responsible for concurrent review on specific patients. Develops, coordinates and monitors systems for the… more
    Sutter Health (10/24/24)
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  • Psychiatrist Senior Medical Director…

    UPMC (Moosic, PA)
    …As Senior Medical Director, you will assure the quality and efficiency of the behavioral health care delivered to Community Care members. Incorporated in 1996, ... created by a leadership team whose clinical experiences as behavioral health providers compelled them to create...by Medical Management Information System + Acts as a physician reviewer for cases referred by care… more
    UPMC (09/25/24)
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  • Senior Medical Director - Sharp Health Plan

    Sharp HealthCare (San Diego, CA)
    Physician Reviewer (s) and Medical Directors including Behavioral Health Medical Directors.Shares after-hours coverage responsibilities with other ... Plan's (SHP) physicians (Medical Directors (both medical and behavioral health ) and the Physician ... review , utilization management, and concurrent and retrospective review Process. Performs and mentor's physician training… more
    Sharp HealthCare (10/20/24)
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