- Centene Corporation (Tucson, AZ)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... reside in Arizona with experience in mental health settings and utilization management / review . **Position Purpose:** Performs a clinical review and… more
- Centene Corporation (Tucson, AZ)
- …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... who reside in Arizona with experience in mental health settings and utilization management / review . **Position Purpose:** Performs reviews of member's… more
- Molina Healthcare (Buffalo, NY)
- …site of service. We are seeking a candidate with a RN licensure, UM and Inpatient Review experience. The Care Review Clinician must be able to work ... experience in ICU, Medical, or ER unit. Previous experience in utilization management, inpatient preferred; knowledge of NYS Medicaid guidelines **Preferred License,… more
- 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
- Molina Healthcare (Columbus, OH)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). **WORK SCHEDULE: Mon - Fri /… more
- 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
- 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
- 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
- Hartford HealthCare (Groton, 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
- Molina Healthcare (Starkville, MS)
- …Molina Care Model * Adhere to UM policies and procedures * Mentor New Care Review Clinicians during orientation period *Sign off on core competencies for new Care ... Review Clinicians during peer mentoring phase *Model New programs,...Social Worker LCSW, Licensed Marriage and Family Therapist LMFT, Utilization Management Certification (CPHM), Rehabilitation Therapy License (Occupational Therapist,… more
- Molina Healthcare (Troy, MI)
- …for this fast-paced role. This is productivity environment. Previous Utilization Management experience strongly preferred._ _WORK SCHEDULE: Monday thru Friday ... or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
- Molina Healthcare (Doral, FL)
- …stay for requested treatments and/or procedures. * Works collaboratively with the Utilization and Case Management departments to provide ABA/BHT services to Molina ... in Behavior Analysis or a related field. **Preferred Experience** Utilization Management experience Health Plan/MCO work experience **Preferred License,… more
- 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
- Centene Corporation (Jefferson City, MO)
- …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:** + LPN - Licensed Practical… more
- 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
- 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 (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
- 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 ... Staff Job Description Glimpse of the Job The TCHATT Clinician II/MS II delivers direct clinical services and acts...assists with program evaluation activities to track and analyze utilization and effectiveness of services. What you need to… more
- Centene Corporation (Austin, TX)
- …of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License/Certification: LPN - Licensed Practical Nurse ... - State Licensure required or LVN - Licensed Vocational Nurse required or RN - Registered Nurse - State Licensure and/or Compact State Licensure required or LCSW- License Clinical Social Worker required or LMHC-Licensed Mental Health Counselor required or… more
- Molina Healthcare (Chicago, IL)
- …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: $27.73 -… more
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