- Altru Health (East Grand Forks, MN)
- …as assigned or needed to meet the needs of the department/organization. Certification: Licensed Clinical Social Worker (LCSW) | North Dakota Board of Social ... Collaborates with community resources to deliver services that promote quality outcomes and continuity of care. Monitors program effectiveness...| Prior to Start Date | HR Primary Sources Licensed Independent Clinical Social Worker | Minnesota… more
- Magellan Health Services (Johnstown, PA)
- …supervision. Project management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer , Licensed /Remote in PA ... reporting. Interacts with multiple stakeholders internally and externally. Provides clinical reviews of Quality of Care (QOC)... Psychology License and Certifications - Required LCSW - Licensed Clinical Social Worker - Care Mgmt,… more
- Chenega Corporation (NM)
- …LLC,** a **Chenega Professional Services** ' company, is looking for a fully remote ** Clinical Quality Reviewer ** to ensure compliance with the contract, and ... and URAC standards for consistency. Supports activities of peer review and quality and safety committees. Our... Quality (CPHQ) preferred. + Registered Nurse or Licensed Clinical Social Worker, with current unrestricted… more
- The Cigna Group (Bloomfield, CT)
- …to Care Managers, Clinical Managers, Providers and other Peer Reviewers in clinical quality improvement process. + Acts as behavioral health consultant in ... Performs peer review and case management activities. Delivers clinical expertise to the organization through peer review , decision making, training,… more
- Kepro (AR)
- …Preferred Qualifications/Experience: + Utilization Review /Utilization Management experience. + Clinical quality review experience with medical records. ... vital partner for health solutions in the public sector. Acentra is looking for a Clinical Reviewer - Behavioral Health - PRN (Remote within Arkansas) ** The… more
- Trinity Health (Livonia, MI)
- …Collaborative Quality Initiative (CQI). This is accomplished through high- quality clinical screening, data compilation, documentation, and entry into ... with the physician champion and appropriate hospital leadership to identify opportunities for clinical quality improvement and other special projects as may be… more
- SSM Health (MO)
- …(CDI) specialist is responsible for facilitating the improvement in the overall quality and completeness of provider-based clinical documentation in the medical ... as well as the level of services rendered. The CDI Specialist assesses clinical documentation through extensive review of the medical record, interaction with… more
- Centers Plan for Healthy Living (Garden City, NY)
- HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... and plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation of… more
- ManpowerGroup (Columbia, SC)
- **Title: Medical Reviewer ** **Location:** **4101 Percival Road Columbia SC 29229 US (Onsite)** **Duration: 03+ Month's Contract** **Shift: Monday to Friday, 8 AM - 5 ... $20.00 to $23.00/hr.** We are looking for a "Medical Reviewer " to join one of our Fortune 500 clients....of our Fortune 500 clients. **Job Summary** The Medical Review and Utilization Management Specialist is responsible for performing… more
- Magellan Health Services (Honolulu, HI)
- …facilities, develops discharge plans and oversee their implementation. + Performs quality clinical reviews while educating and making appropriate interventions ... Certifications - Required CEAP - Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed … more
- US Tech Solutions (Columbia, SC)
- …benefits or services, and appeals. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and ... to determine the priority of our cases. Then we review the requests against the policy and the member's...the policy and the member's contract. When reviewing the clinical we determine if it can be reviewed at… more
- Wellpath (Fort Lauderdale, FL)
- …in a health care setting, preferably inpatient preferred. + Minimum one (1) year clinical or utilization review or case management preferred. + Knowledge of ... is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and...a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We… more
- AdventHealth (Overland Park, KS)
- …imaging center, physical therapy and more. **The role you'll contribute:** The Clinical Social Worker, Licensed , intervenes with patients who have complex ... nurses, and other members of the care team). The Clinical Social Worker, Licensed , , in collaboration...and system goals, objectives, policies and procedures and ensures quality patient care and regulatory compliance. Actively participates in… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …This paragraph summarizes the general nature, level and purpose of the job. Licensed Clinical Social Worker is the second and fully-qualified, full-proficiency ... licensed by the State of California as Licensed Clinical Social Workers (LCSW). Positions at...education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals,… more
- Centene Corporation (Columbia, SC)
- …management, utilization management, or quality improvement. **License/Certification:** LCSW - Licensed Clinical Social Worker required or LMHC- Licensed ... information from the Operations and Medical Management teams. Assesses and performs review of member clinical records and services related to behavioral health… more
- Centene Corporation (Tallahassee, FL)
- …management, utilization management, or quality improvement. **License/Certification:** LCSW - Licensed Clinical Social Worker required or LMHC- Licensed ... information from the Operations and Medical Management teams. Assesses and performs review of member clinical records and services related to behavioral health… more
- Veterans Affairs, Veterans Health Administration (Canton, OH)
- Summary The VA Northeast Ohio Healthcare System recruiting for an Licensed Practical Nurse (Telehealth Clinical Technician) . The Licensed Practical Nurse ... of the Community Outpatient Services. Responsibilities VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Licensed Practical… more
- All About Kids (New Rochelle, NY)
- …well as fully licensed Speech Language Pathologists (SLP). Our ASHA certified, state- licensed clinical fellow supervision team will work with you on your ... needed anytime + Work with a dedicated ASHA certified, state- licensed clinical fellow supervisor who will support...looking for ways to improve and deliver the highest quality therapy service Compensation For Clinical Fellows:… more
- KBR (Colorado Springs, CO)
- Title: Special Operations Licensed Clinical Social Worker (10th SFG, Ft. Carson CO) THIS POSITION OFFERS RELOCATION. Belong. Connect. Grow. with KBR! KBR is a ... and astronauts. We are looking for a Special Operations Licensed Clinical Social Worker to join the...treatment evaluations. Essential Duties & Responsibilities: + Engage all quality improvement and staff meetings , conferences + Conduct… more
- KBR (Clovis, NM)
- Title: Special Operations Licensed Clinical Social Worker (27 SOW/Cannon AFB, NM) Sign-on Bonus Eligible Sign-on bonus of up to $10K may be available to ... and services. We are looking for a Special Operations Licensed Clinical Social Worker to join the...and drug treatment evaluations. Responsibilities : * Engage all quality improvement and staff meetings, conferences * Conduct applied… more
