- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... to provide requested clinical and psychosocial information to assure reimbursement. UTILIZATION REVIEW + Reviews prospectively, concurrently and retrospectively… 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 ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
- Texas A&M University System (Bryan, TX)
- Job Title TCHATT Clinician II /MS II Agency Texas A&M University Health Science Center Department Psychiatry and Behavioral Science Proposed Minimum Salary ... Job Description Glimpse of the Job The TCHATT Clinician II /MS II delivers direct clinical services and...+ Four years of behavioral health related experience + Licensed Master Social Worker (LMSW) in the State of… more
- HCA Healthcare (Aurora, CO)
- …+ Participates in developing department goals/objectives and clinical programming. + Performs utilization review as assigned. + Assists with Process and ... volunteering in our communities. As a(an) Mental Health Professional II PRN with HCA HealthONE Aurora you can be...of education and/or experience + Currently registered as a Licensed Master in Social Work (LMSW) in state (s)… more
- UT Health (Houston, TX)
- …will include intensive case management, contributing to treatment planning, participating in utilization review for IOP level of care, and conducting a ... Clinician I/ II , Intensive Case Manager - UTHealth Houston Behavioral...**UTHealth PHP/IOP Stepped Care Programs** are seeking a full-time, licensed mental health professional (LPC, LCSW, LMSW) to provide… more
- HCA Healthcare (Mckinney, TX)
- …personal growth, we encourage you to apply for our Mental Health Professional II Masters opening. We promptly review all applications. Highly qualified ... **Description** **Mental Health Professional II Court Liaison** **Shift: Full time - Days**...family, treatment team, physician and payers + Manages the utilization of services through concurrent reviews with payers and/or… more
- VRX, Inc. (El Paso, TX)
- …inspection. General Description The General Description for a Construction Inspector II to CI IV include: Inspects construction methods and workmanship to ... inspection activities for ongoing airport improvement projects. Responsible to a licensed professional engineer who has full authority for approval of all… more
- Bassett Healthcare (Cooperstown, NY)
- …the best quality of life possible. What you'll do The Registered Professional Nurse II , Acute Care is accountable for the delivery of safe patient care utilizing the ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes assessment data to… more
- The County of Los Angeles (Los Angeles, CA)
- PSYCHIATRIC SOCIAL WORKER II /SS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1163129) Apply PSYCHIATRIC SOCIAL WORKER II /SS Salary ... and students in the allied health fields. Instructs community agencies regarding the utilization of mental health principles to identify and to treat mental health… more
- Billings Clinic (Billings, MT)
- …and reporting information as required by department and other programs. * Provides utilization review functions as required by the department. * Identifies ... starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Case Manager II or Therapist (.6) PSYCH STABILIZATION UNIT - 6060… more
- LA Care Health Plan (Los Angeles, CA)
- …by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health ... Care Management Specialist II - MCLA Team Job Category: Clinical Department:...for Registered Nurses Master's Degree in Social Work for Licensed Clinical Social Workers Education Preferred Bachelor's Degree in… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF PHYSICIAN II (VARIOUS SPECIALTIES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2915002) CHIEF PHYSICIAN II (VARIOUS SPECIALTIES) ... communities by providing extraordinary care. DEFINITION: Incumbents in these positions are licensed physicians that direct the programs and activities of a large… more
- YesCare Corp (Elmore, AL)
- …measures including sentinel event review + Actively participant of the Utilization Review process and follow proper procedures. **YesCare Benefits** (only ... + Graduate of an accredited medical school. + Fully licensed to practice medicine in the state of employment....list of your responsibilities as a **Site** **Medical Director II ** with Yescare at Staton Correctional Facility located in… more
- Sea Mar Community Health Centers (Battle Ground, WA)
- …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... COVID-19 and flu vaccine organization Care Coordinator I or II - Posting #25755 Hourly Rate: $21.88 - $22.63...have to have an active license; this is a non- licensed position. + This position must obtain CPR within… more
- CAMBA (Brooklyn, NY)
- …challenges faced by nearly 1.7 million New Yorkers today. CAMBA GARDENS Phase II is a 293 unit supportive/affordable housing development located in the East Flatbush ... a disabling clinical condition. 24 units are for Population II chronically homeless families, in which the head of...goals (dates achieved) and document via progress notes. + Review all documentation related to clients' progress for accuracy,… more
- Elevance Health (Norfolk, VA)
- …Health PulsePoint office. This utilization management role is responsible for utilization management review for Behavior Analysis services. **How you will ... licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with complex psychiatric/substance… more
- Sea Mar Community Health Centers (Lynnwood, WA)
- …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... a mandatory COVID-19 and flu vaccine organization Care Coordinator II - Posting #26043 Hourly Rate: $22.63 Position Summary:...have to have an active license; this is a non- licensed position. + This position must obtain Basic Life… more
- Sharp HealthCare (La Mesa, CA)
- …required within 90 days of hire. **Essential Functions** + Verification and review of medication orders-Reviews all medication orders for appropriate dose, duration, ... protocols and consultation with the interdisciplinary team.-Completion of a daily profile review for each patient consisting of the following elements:* Age, sex,… more
- Centene Corporation (Olympia, WA)
- …educating providers on the health plan's pharmacy process + Assist with the pharmacy utilization review and reporting process + Assist with the training and ... pharmacy calls regarding the prior authorization and formulary process + Perform review of pharmacy and override process in compliance with pharmaceutical related… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000082 Date: Jan 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 843801 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000082 Pay Plan: Career Service Position Number:… more
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