• IVC Response Unit Clinician

    City of Durham (Durham, NC)
    …service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management. + Ability ... with service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management? + No… more
    City of Durham (02/13/25)
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  • Psychiatric Clinician (LCSW, LPC, LMFT)…

    Hartford HealthCare (Torrington, CT)
    …Licensed Clinician provides individual, group, couples, and family therapy. Utilization of evidenced based practices are supported. Clinicians are encouraged to ... in a convenient, safe and comfortable patient environment. The Licensed Psychiatric Clinician is a Masters prepared Licensed Clinical Social Worker (LCSW), Licensed… more
    Hartford HealthCare (02/11/25)
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  • Crisis Response Clinician

    City of Durham (Durham, NC)
    …service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management. + Ability ... Crisis Response Clinician Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/4689381) Apply  Crisis Response Clinician Salary $65,749.00 -… more
    City of Durham (01/24/25)
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  • Care Review Clinician , Inpatient…

    Molina Healthcare (San Jose, CA)
    …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... with California providers **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees:… more
    Molina Healthcare (02/13/25)
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  • Care Review Clinician , PA (RN)…

    Molina Healthcare (Columbus, OH)
    **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to… more
    Molina Healthcare (03/07/25)
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  • Clinical Review Clinician - Appeals

    Centene Corporation (Austin, TX)
    …flexibility. **_ Remote role. Preferred candidate has strong background in Utilization Management/Claims Review and/or Appeals. _** **Position Purpose:** ... applicable criteria, and analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with State, Federal and NCQA… more
    Centene Corporation (03/15/25)
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  • Care Review Clinician , Prior…

    Molina Healthcare (MS)
    …field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or medical clinic ... in good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able to travel within applicable state or locality with… more
    Molina Healthcare (03/04/25)
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  • Lead Behavioral Health Clinician (LCSW,…

    Hartford HealthCare (Danielson, CT)
    …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... and then to the student's home. _*Job Summary*_ Lead Behavioral Health Clinician works in coordination with interdisciplinary teams to organize, prepare, and deliver… more
    Hartford HealthCare (02/21/25)
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  • Bilingual Clinician

    Catholic Charities Family Community Services (Rochester, NY)
    …periodic updates and a closing letter. + Provides information for HMO and payer utilization review as required. + Participates in staff meetings and clinical ... **BILINGUAL CLINICIAN ** **Job Details** **Job Location** 79 North Clinton...and Community Services is growing and seeking an** **Bilingual Clinician ** **to join our family!** Catholic Charities Family and… more
    Catholic Charities Family Community Services (02/07/25)
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  • Senior Behavioral Health Clinician

    City and County of San Francisco (San Francisco, CA)
    …and + May perform Quality Improvement activities such as chart audit and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties ... Francisco continuously accepts applications for all permanent Senior Behavioral Health Clinician 2932 positions. Rather than publishing separate job ads for every… more
    City and County of San Francisco (01/08/25)
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  • Behavioral Health Clinician - Citywide

    City and County of San Francisco (San Francisco, CA)
    …of San Francisco continuously accepts applications for all permanent Behavioral Health Clinician 2930 positions. Rather than publishing separate job ads for every ... Homelessness and Supportive Housing and the Department of Public Health can then review your application and contact you directly with details about their positions.… more
    City and County of San Francisco (01/08/25)
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  • Lead Behavioral Health Clinician (LCSW,…

    Hartford HealthCare (Mansfield Center, CT)
    …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... absence of Program Manager. Key responsibilities of Lead Behavioral Health Clinician : * Conducts a comprehensive bio-psychosocial assessment and establishes a care… more
    Hartford HealthCare (02/08/25)
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  • Lead Behavioral Health Clinician (LCSW,…

    Hartford HealthCare (Old Saybrook, CT)
    …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... then to the student's home. _*Job Summary*_ _**_ Lead Behavioral Health Clinician works in coordination with interdisciplinary teams to organize, prepare, and… more
    Hartford HealthCare (02/06/25)
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  • Behavioral Health Clinician - Norwalk OP

    Hartford HealthCare (Norwalk, CT)
    …Licensed Clinician provides individual, group, couples, and family therapy. Utilization of evidenced based practices are supported. Clinicians are encouraged to ... clinicians through clinical supervision, weekly clinical team meetings to review cases and interact with colleagues, professional development opportunities,… more
    Hartford HealthCare (01/20/25)
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  • RN Clinical Review Clinician_Appeals

    Centene Corporation (Sacramento, CA)
    …applicable criteria, and analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with State, Federal and NCQA ... of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License/Certification: For Health Net of California:… more
    Centene Corporation (03/04/25)
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  • Care Review Clinician , Inpatient…

    Molina Healthcare (Columbus, OH)
    …(Managed Care) **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). active, unrestricted Compact RN ... licensure To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity… more
    Molina Healthcare (03/13/25)
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  • Care Review Clinician , Inpatient…

    Molina Healthcare (MS)
    …or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If ... you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $23.76 -… more
    Molina Healthcare (03/04/25)
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  • Group Clinician Lic III

    HCA Healthcare (Rochester, NH)
    …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... an organization that invests in you as a(an) Group Clinician Lic III? At Frisbie Memorial Hospital, you come...a difference. We are looking for a dedicated Group Clinician Lic III like you to be a part… more
    HCA Healthcare (02/19/25)
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  • Weekend YCCS Mental Health Clinician

    The Home for Little Wanderers (Walpole, MA)
    …documentation and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + Communicate and share ... The Home for Little Wanderers is seeking a Part-Time Weekend Clinician at their Walpole location to provide age-appropriate, culturally sensitive therapy… more
    The Home for Little Wanderers (02/01/25)
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  • Lead Advanced Practice Clinician

    Atlantic Health System (Morristown, NJ)
    Atlantic Health System is Seeking a Full-Time Lead Advanced Practice Clinician for Neurocritical Care in Morristown Atlantic Health System, one of New Jersey's ... healthcare networks, is seeking a Full-Time Lead Advanced Practice Clinician (APC) to join the Trauma and Acute Care...and adherence to policy through practice analysis and case review with physicians. + Conducts regularly scheduled meetings with… more
    Atlantic Health System (01/03/25)
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