• Clinical Peer Reviewer

    The Cigna Group (Bloomfield, CT)
    Performs peer review and case management activities. Delivers clinical expertise to the organization through peer review , decision making, training, ... on clinical practices. **RESPONSIBILITIES INCLUDE:** + Performs clinical and administrative peer review and appeals, case management, and case… more
    The Cigna Group (10/30/24)
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  • Remote Clinical Quality Reviewer

    Chenega Corporation (NM)
    …organizational, national, TRICARE, and URAC standards for consistency. Supports activities of peer review and quality and safety committees. Our company offers ... preparing case summaries with appropriate recommendations for further actions. + Develops peer review cases and other quality improvement activities for… more
    Chenega Corporation (11/26/24)
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  • Psychologist Reviewer

    Centene Corporation (Olympia, WA)
    …internal criteria for medical necessity and appropriateness of care + Conduct peer reviews with psychologist and licensed therapist/certified Behavior Analyst ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
    Centene Corporation (11/27/24)
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  • Psychologist Reviewer

    Centene Corporation (Madison, WI)
    …internal criteria for medical necessity and appropriateness of care** **Conduct peer reviews with psychologist and licensed therapist/certified Behavior Analyst ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
    Centene Corporation (11/27/24)
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  • Licensed Clinical Social Worker…

    WellSpan Health (Chambersburg, PA)
    Licensed Clinical Social Worker - Outpatient Behavioral Health - Days Location: Chambersburg Hospital, Chambersburg, PA Schedule: Full Time Full time Weekdays No ... participation in educational programs to update and maintain knowledge and clinical skills. Certifications/Licensure: Licensed Clinical Social Worker (LCSW)… more
    WellSpan Health (11/23/24)
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  • Licensed Clinical Psychologist |…

    Matrix Providers (Groton, CT)
    Licensed Clinical Psychologist | Any State License Location: Groton, CT, United States Healthcare Provider Type : Ancillary Services (MQS) START YOUR APPLICATION ... Matrix Providers has a full-time, civilian opportunity for a Licensed Clinical Psychologist to provide onsite, ...of other individuals performing similar services. - Participate in peer review and performance improvement activities as… more
    Matrix Providers (11/16/24)
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  • Licensed Clinical Social Worker…

    Matrix Providers (Oceanside, CA)
    Licensed Clinical Social Worker - Oceanside, CA (Any State License) Location: Oceanside, CA, United States Healthcare Provider Type : Ancillary Services (MQS) ... Come home to Matrix. Matrix Providers is hiring a Licensed Clinical Social Worker (LCSW) - Intrepid...care and compliance with treatment. + Participate in professional peer review case conferences, research studies, or… more
    Matrix Providers (10/01/24)
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  • Licensed Clinical Social Worker…

    Matrix Providers (Oceanside, CA)
    Licensed Clinical Social Worker - Oceanside, CA (Any Sate License) Location: Oceanside, CA, United States Healthcare Provider Type : Ancillary Services (MQS) ... Come home to Matrix. Matrix Providers is hiring a Licensed Clinical Social Worker (LCSW) to join...care and compliance with treatment. + Participate in professional peer review case conferences, research studies, or… more
    Matrix Providers (09/06/24)
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  • Licensed Clinical Social Worker

    Matrix Providers (Camp Pendleton, CA)
    Licensed Clinical Social Worker- Camp Pendleton Location: Camp Pendleton, CA, United States Healthcare Provider Type : Allied Health START YOUR APPLICATION ... excellent healthcare with dignity, compassion, and pride. Matrix Providers is hiring Licensed Clinical Social Workers (LCSW/LICSW/LISW) to join our team of… more
    Matrix Providers (09/02/24)
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  • Special Operations Licensed Clinical

    KBR (Jacksonville, NC)
    Title: Special Operations Licensed Clinical Social Worker (Suicide Prevention) (Sneads Ferry/Camp Lejeune, NC) Belong. Connect. Grow. with KBR! KBR is a company ... and astronauts. We are looking for a Special Operations Licensed Clinical Social Worker to join the...directed by the unit Commander or his/her designee. Conduct peer (record) or quality of care reviews as directed… more
    KBR (09/10/24)
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  • Licensed Clinical Social Worker…

    ERP International (San Antonio, TX)
    **Overview** ERP International is seeking a ** Licensed Clinical Social Workers (LCSW)** for a full-time position, supporting the **Behavioral Health** services ... on health care and compliance with treatment. + Participate in professional peer review case conferences, research studies, or other organizations required… more
    ERP International (10/26/24)
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  • Licensed Utilization Review II

    Elevance Health (Norfolk, VA)
    …with facilities and providers for care-coordination. + May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical ... **Title:** Licensed Utilization Review II **Location** :...healthcare providers. + Refers treatment plans/plan of care to peer clinical reviewers in accordance with established… more
    Elevance Health (11/06/24)
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  • BH Licensed Clinical Social Worker…

    InGenesis (Fremont, CA)
    …and participate in staff meetings, training, case conferences, and peer review process. * Perform other related clinical and administrative duties as ... InGenesis is seeking a BH Licensed Clinical Social Worker (LCSW) to...as indicated. * Work flexible schedule as necessary. * Review clinical interventions and case documentation with… more
    InGenesis (09/05/24)
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  • Licensed Clinical Social Worker

    ERP International (Lemoore, CA)
    **Overview** ERP International is seeking ** Licensed Clinical Social Workers (LCSW)** for full-time opportunities in support of the **Naval Health Clinic ... on health care and compliance with treatment. * Participate in professional peer review case conferences, research studies, or other organizations required… more
    ERP International (11/23/24)
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  • Licensed Clinical Social Worker…

    ERP International (Hurlburt Field, FL)
    **Overview** ERP International is seeking a full time ** Licensed Clinical Social Worker** in support of the Behavioral Health Program, 1st Special Operations ... care and compliance with treatment. + Participate in professional peer review case conferences, research studies, or...full, active and unrestricted license to practice as a Licensed Clinical Social Worker (LCSW) from any… more
    ERP International (09/05/24)
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  • Licensed Clinical Social Worker…

    ERP International (Pensacola, FL)
    **Overview** ERP International is seeking full time ** Licensed Clinical Social Workers (LCSW)** in support of **Behavioral Health** services at **Naval Hospital ... on health care and compliance with treatment. * Participate in professional peer review case conferences, research studies, or other organizations required… more
    ERP International (10/18/24)
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  • Licensed Professional Mental Health…

    Veterans Affairs, Veterans Health Administration (Grand Junction, CO)
    …service area. The Local Recovery Coordinator has supervisory responsibilities over the Peer Support Program. The Licensed Professional Mental Health Counselor ... homes. Local Recovery Coordinator Duties Include: Advises MH Chief on filling peer specialist positions and provides administrative and clinical supervision to… more
    Veterans Affairs, Veterans Health Administration (11/08/24)
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  • Licensed Professional Mental Health…

    Veterans Affairs, Veterans Health Administration (Fort Harrison, MT)
    …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... about VA programs and resources. Accountable for timely documentation, proper clinical file recording, case work services rendered, exploration surveys with… more
    Veterans Affairs, Veterans Health Administration (11/15/24)
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  • Utilization Review Clinical

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Utilization Review Clinical Review (CR) 3 Team Lead will assist the Director of UR and Associate Director of UR with daily staff mentoring, ... provide input for committees. Other duties as assigned. Minimum Qualifications: NYS Licensed /Registered (or eligible) RN, Bachelors Degree in Nursing and a minimum… more
    SUNY Upstate Medical University (11/04/24)
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  • Quality Patient Safety Program Manager…

    Dignity Health (Phoenix, AZ)
    …efficiency, FMEAS, and root cause analyses and medical staff improvement (eg peer review , OPPE, FPPE). Clinical performance improvement, including ... As our new Quality and Patient Safety Program Manager ( licensed ), you will support, coordinate, and facilitate the quality...case review for peer review . + Participates in an integral… more
    Dignity Health (11/13/24)
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