- Amergis (Santa Rosa, CA)
- …accredited by the Council on Social Work Education required + Active license as an LCSW in state of practice required + Minimum of one year of social work experience ... preferred + Current CPR if applicable + TB questionnaire, PPD or chest x-ray if applicable + Current Health certificate (per contract or state regulation) + Must meet all federal, state and local requirements + Must be at least 18 years of age Benefits At… more
- Hartford HealthCare (Norwich, CT)
- …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... moment*. **Job:** **Behavioral Health* **Organization:** **Natchaug Hospital* **Title:** *Lead Clinician ( LCSW ) - Child/Adolescent PHP* **Location:** *Connecticut-Norwich-NAT… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $35.00-44.19 Per Hour RN/ LCSW /LMFT/LPCC $54.00-68.18 Per ... monitor and optimize reimbursement for external reviewers/third party payers. The Utilization Review Clinician maintains knowledge of, participates… more
- Centene Corporation (Austin, TX)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse.… more
- Centene Corporation (Tallahassee, FL)
- …assess ABA Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...teams to review care services related to Applied Behavior Analysis Services… more
- CVS Health (Harrisburg, PA)
- …in a hospital setting required for either BH or RN -1+ years of utilization review / utilization management required (ie concurrent review , ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
- FLACRA (Penn Yan, NY)
- …within the timelines outlined by FLACRA. + Participates in quality initiatives and utilization review activities as requested. + Strives to understand and meet ... Integrated Outpatient Senior Clinician FLACRA Penn Yan, NY (Onsite) Full-Time $34.00/Hour...services. Licensed as an LMHC, LMSW, LMFT, LMHC-D, or LCSW . LMHC, LMSW, LCAT, LMFT, LMHC-D or LCSW… 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
- Molina Healthcare (Louisville, KY)
- …RN who must be licensed in KY or have a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and ... JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services… more
- Molina Healthcare (NM)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN (preferred) or LPN with a compact license who resides in New Mexico or Texas. This team ... 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
- 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
- Prime Healthcare (Boonton Township, NJ)
- …meetings as required to ensure continuity of care. Completes all required utilization review tasks as assigned. For Outpatient and Residential services/programs ... social work, or other health-related field required.2. NJ licensure required: LAC, LPC, LSW, LCSW , PhD, PsyD, LMFT, LCADC* (*must also have LAC, LPC, LSW, LCSW … more
- Atlantic Health System (NJ)
- …chart documentation. 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned. Required:1. Master's ... related field 2. Previous clinical or counseling experience. Preferred:1. LCSW , LSW or LPC license. At Atlantic Health System,...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
- Prime Healthcare (Boonton Township, NJ)
- …meetings as required to ensure continuity of care. Completes all required utilization review tasks as assigned. For Outpatient and Residential services/programs ... of clients may be required. Qualifications EDUCATION, EXPERIENCE, TRAINING + LCSW preferred; LPC, LCADC license for independent practice level required. (If… more
- AmeriHealth Caritas (LA)
- …Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity ... reviews. Using clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services, working closely with members and… more
- MVP Health Care (Schenectady, NY)
- …Workplace** . The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental health and substance use treatment decisions. ... you'll bring:** + Master's prepared and licensed mental health clinician (LMSW, LCSW , LMHC, etc.) or Licensed...with at least 2 years being ASD related + Utilization or Case Management experience in a managed care… more
- Nuvance Health (Newtown, CT)
- …the delivery of medical care and clinical services such as cost management, utilization review , quality assurance, and medical protocol development * Participate ... role with clinical responsibilities with 3 Physicians, 3 Physician Assistants and 1 LCSW . Newtown is a scenic "small town" located in Fairfield County in… more
- Whitney Young Health Center (Albany, NY)
- …to continually assess and improve the quality of patient services-conducts monthly utilization review . + Participates in the recruitment of clinical staff. ... to increase patient access to care, enhance program census, and achieve clinician productivity standards. + Leads and engages clinicians in direct services and… more
- Johns Hopkins University (Baltimore, MD)
- …allocation of Initial Consultation and Intake visits, and for monitoring clinician practice to guidelines. The role requires substantial cross-site collaboration ... case consultation, High-Risk Case Consultation, peer chart reviews, medical leave review , accreditation, and other committees as directed. + Collaborates closely… more