- Battelle Memorial Institute (Tacoma, WA)
- …Analytics (HRA) business line is seeking a highly motivated, full-time Cognitive Performance Specialist to join our team in support of our government customer, US ... ensuring comprehensive support for those who serve. As a Cognitive Performance Specialist , you will contribute to impactful research and analytics that drive… 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
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is ... responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD)… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …for a UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the ... Who Are We: Westborough Behavioral Healthcare Hospital (WBHH) provides psychiatric stabilization and...hospital's utilization review plan to ensure the effective… more
- PeaceHealth (Bellingham, WA)
- **Description** PeaceHealth is seeking a RN Admissions/ Utilization Behavioral Health - Care Management for a Full Time, 1.00 FTE, Day position. The salary range ... of psychiatric diagnostics. + Preferred: Third party reimbursement knowledge. + Preferred: Utilization Review experience, someone who can talk to providers.… more
- WellSpan Health (Chambersburg, PA)
- …and efficiently. + Identifies system/organizational processes which may affect effective utilization of resources, timely scheduling of tests, appropriate level of ... Thoroughly and accurately documents actions/communication surrounding discharge planning and/or utilization management in the medical record. + (BHU Only)… more
- UnityPoint Health (Cedar Rapids, IA)
- …ID: 174223 Overview This position is on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient ... clinical outcomes and patient and provider satisfaction. The UM Specialist provides the Utilization Management function for...State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional communication - written… more
- CVS Health (Oklahoma City, OK)
- …and timely discharge, appropriate follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and payer records to ensure ... to identify and address patient needs (eg care team, social work, behavioral health, utilization management, Hard-to-Reach, Central Telehealth, etc.). +… more
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** 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,… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …field of expertise. We are looking for an Instructor to teach in the Behavioral Health Support Specialist Program Certificate. This course will be offered in ... Communication Strategies in Behavioral Health Care Instructor - UCLA Extension Apply...Application Window Open date: December 5, 2025 Most recent review date: Monday, Dec 8, 2025 at 11:59pm (Pacific… more
- BriteLife Recovery (Hanover, PA)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... "PRN" BEHAVIORAL HEALTH TECHNICIAN/DRIVER Do you work for a...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS), or willingness to pursue + Valid Driver's… more
- BriteLife Recovery (Hanover, PA)
- …+ Under the direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, limit ... BEHAVIORAL HEALTH TECHNICIAN/DRIVER Do you work for a...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS), or willingness to pursue + Valid Driver's… more
- City of Durham (Durham, NC)
- …coverage policies (NC Service Definitions, ie ACT, CST IOP, SACOT, Innovation Wavier), utilization review , and data management. + Knowledge of: + the signs ... Street Outreach Specialist Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/4923157) Apply Street Outreach ...Service Definitions, ie ACT, CST IOP, SACOT, Innovation Wavier), utilization review , and data management? + No… more
- HCA Healthcare (Nashville, TN)
- …treatment is reimbursed by contacting managed care organizations and completing initial utilization review . Documents in Midas as required. Involves mobile ... any other healthcare provider. We are seeking a(an) Assessment Specialist PRN to join our healthcare family. **Benefits** TriStar...patients in regard to managed care organizations + Conducts utilization review for managed care cases in… more
- HCA Healthcare (Dallas, TX)
- …acute inpatient rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...we encourage you to apply for our Clinical Rehab Specialist opening. We promptly review all applications.… more
- HCA Healthcare (Dallas, TX)
- …this opportunity compelling, we encourage you to apply for our Clinical Pharmacist Specialist BMT opening. We promptly review all applications. Highly qualified ... **Description** **Clinical Pharmacist Specialist BMT** **Full Time Day Shift Position, rotating...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (San Antonio, TX)
- …disciplinary team maintaining effective communication with Emergency Department staff, Utilization Review Staff, Admissions Staff, Attending Psychiatrists, ... organization that invests in you as an Assessment Referral Specialist ? At Methodist Healthcare, you come first. HCA Healthcare...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- New York State Civil Service (Albany, NY)
- …adolescents with mental illness in a clinical capacity, as well as experience with utilization management and/or utilization review . ? The ideal candidate(s) ... Agency Mental Health, Office of Title Mental Health Program Specialist 2, Central Office; Occupational Category Other Professional Careers...will have direct care and utilization management experience, including familiarity with the … more
- HCA Healthcare (San Antonio, TX)
- …growth, we encourage you to apply for our Transplant Clinical Pharmacist Specialist opening. We promptly review all applications. Highly qualified candidates ... like family! Jump-start your career as a(an) Transplant Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. **Benefits** Methodist… more
- General Dynamics Information Technology (Fort Campbell, KY)
- …Seize your opportunity to make a personal impact as a Cognitive Performance Specialist supporting mission critical work on an exciting program. GDIT is your place ... rewarding career. At GDIT, people are our differentiator. As a Cognitive Performance Specialist supporting our customer, you will help ensure today is safe and… more
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