- Elevance Health (Norfolk, VA)
- **Title:** Licensed Utilization Review II **Location** : This position will work a remote model, but candidates must live within 50 miles of one of our ... **Shift** : 4 weekdays and 1 weekend day as discussed with manager. The ** Licensed Utilization Review II ** is responsible for working primarily with… more
- Elevance Health (FL)
- **JR133557 Manager II Behavioral Health Services ( Utilization Management for Behavior Analysis Services)** Responsible for Behavioral Health Utilization ... cost of care initiatives. + May attend meetings to review UM and discusses facility issues. + Hires, trains,...performance of direct reports. + Manages a team of licensed clinicians and non-clinical support staff responsible to ensure… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: This Utilization Review Denials Review Unit (DRU) 3 Team Lead will assist the Director of Utilization Review and the Associate Director ... of Utilization Review with daily staff mentoring, leadership and resource provision....have supervisory oversight of the DRU level I & II nurses and provides feedback/mentorship to UR CR I… more
- HCA Healthcare (Ogden, UT)
- …Apply Today! **Job Summary and Qualifications** The Mental Health Professional/ Utilization Review role primarily involves reviewing medical records ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...Social Worker (BCSW), or Clinical Mental Health Counselor, or Licensed Clinical Social Worker (LCSW), or Licensed … more
- 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, ... provision. This position will have supervisory oversight of the CR level II nurses. This position utilizes first-level screening criteria daily and accurately… more
- LA Care Health Plan (Los Angeles, CA)
- …patient care, such as ambulatory care, home care, or case management. OR experience in Utilization Review or Care Management will be considered in lieu of direct ... and/or disabilities in a case/care management environment. Preferred: Experience in utilization review , skilled nursing, home health, discharge planning,… more
- Covenant Health Inc. (Oak Ridge, TN)
- Overview Registered Nurse, Care Manager II Full time, 80 hours per pay period, Day shift With more than 30 specialties from Cardiology and Neurosurgery to ... joints, sudden heart failure, and non-healing wounds. + 283 licensed beds + 25 ICU beds + 12 intermediate...Over 800 employees Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical practice… 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
- Elevance Health (Cerritos, CA)
- The **Manager II Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) ... to opioid or alcohol use. The team consist of license and non licensed clinicians. **Responsibilities for EAP/Resource Center** include: Managing a team of … 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)
- Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... Job Summary The Customer Solution Center Appeals and Grievances Nurse Specialist LVN II is primarily responsible for the overall coordination of the Appeals &… 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 Job Category: Clinical Department: Care Management Location:...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
- 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
- Sea Mar Community Health Centers (Lakewood, 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 #26953 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
- Elevance Health (FL)
- …facility-based and outpatient professional treatment health benefits through telephonic or written review . **Location:** **Must reside and be licensed in the ... The **Behavioral Health Care Manager** ** II ** is responsible for managing psychiatric and substance...the United States required. + Previous experience in case management/ utilization management with a broad range of experience with… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …and American Elm Regions. This role will encompass all duties related to the CSM II with emphasis on training and development of client services team as well as the ... regarding payer mix. Participate in weekly financial and quarterly budget report review , with guidance of director. Demonstrate understanding of key drivers for… more
- Elevance Health (FL)
- … licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with complex psychiatric/substance ... that reside in the state of **Florida.** The **Behavioral Health Case Manager II ** is responsible for managing psychiatric and substance abuse or substance abuse… more
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