- Sutter Health (Berkeley, CA)
- …and others to ensure appropriate utilization and quality care through utilization review , tracking and evaluation and objectively compare criteria with ... clinical nursing staff and other departments regarding documentation required for utilization review activities and processes. Collaborate with medical, nursing… more
- Spectrum Billing Solutions (Skokie, IL)
- …billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management ... | UR Specialist | Revenue Cycle Utilization Review Specialist | ABA...Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing Specialist… more
- Community Health Systems (Franklin, TN)
- …of the necessity, appropriateness, and efficiency of medical services and procedures in a Behavioral Health setting. Utilization review is the assessment for ... documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if...documented in the case management system by the UR Behavioral Health Review Specialist . +… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …leadership, teamwork, and communication skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical ... Education Associates Degree preferred Minimum Work Experience Utilization Review experience preferably in a behavioral /psychiatric healthcare setting or… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …Time + Employee Discount Program + Employee Assistance Program Job Description: The Utilization Review Specialist is responsible for monitoring adherence to ... Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage. Benefits Include +...the hospital's utilization review plan to ensure the effective… more
- Desert Parkway Behavioral Healthcare Hospital (Las Vegas, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...of care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...of care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround… more
- HCA Healthcare (San Antonio, TX)
- …we encourage you to apply for our Clinical Pharmacist Specialist Behavioral Health opening. We promptly review all applications. Highly qualified candidates ... you have the career opportunities as a(an) Clinical Pharmacist Specialist Behavioral Health you want with your...multidisciplinary and bedside rounds + You will complete drug utilization reviews to promote rational drug therapy and implement… more
- Granville Medical Center (Oxford, NC)
- …case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; developing, ... level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients who… more
- Granville Health System (Oxford, NC)
- …case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; developing, ... level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients who… more
- LifePoint Health (Danville, VA)
- *Registered Nurse, RN - Utilization Review Case Manager* Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ** Must have ... Utilization Review experience.** ** * ** *Your...of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete an application, or have… more
- Dignity Health (San Bernardino, CA)
- …systems. Visit https://www.dignityhealth.org/socal/locations/san-bernardino for more information. **Responsibilities** The Utilization Review Specialist is ... Known for its programs in maternity care and pediatrics behavioral health and long-term subacute care for adults and...+ Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Proficient in… more
- CVS Health (Trenton, NJ)
- …in managed care Utilization Management to include prior authorization, concurrent review OR demonstrated experience in providing behavioral health and Care ... personal, convenient and affordable. **Mission** The Senior Clinical Strategist is a Behavioral Health Leader and Administrator for Aetna Better Health of New Jersey… more
- Highmark Health (Columbus, OH)
- …Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to assure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management, and… more
- University of Washington (Seattle, WA)
- …- Productivity . Communication Under the direction of the Head of Behavioral Management Services (BMS), the **Primate Welfare Specialist ** conducts activities ... of Washington invites applications for the position of **Primate Welfare Specialist ** at the Washington National Primate Research Center (WaNPRC). Established in… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST - F/C - 67056731 APD/ DDDP CHATTAHOOCHEE, FL Date: Dec 13, 2024 The State Personnel System is an E-Verify employer. For more information ... No: 837602 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - F/C - 67056731 APD/ DDDP CHATTAHOOCHEE, FL Pay Plan: Career… more
- BriteLife Recovery (Hilton Head Island, SC)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... BEHAVIORAL HEALTH TECHNICIAN/ DRIVER Do you work for...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS) or similar certification, or willingness to pursue… more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management...Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM),… more
- BriteLife Recovery (West Kill, NY)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... PRN/ PART-TIME BEHAVIORAL HEALTH TECHNICIAN/ DRIVER Do you work for...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS), or willingness to pursue + Valid Driver's… more
- Army National Guard Units (Las Vegas, NV)
- Summary This position is for a PRIMARY PREVENTION SPECIALIST (PREV WF), PD# T0029P01 part of the Nevada National Guard. The primary purpose of this position is to ... internal programs and offices at the Wing/Region, or JFHQ (such as Behavioral Health, Equal Opportunity, Sexual Assault Prevention and Response, Family Programs,… more
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