- Centene Corporation (Jefferson City, MO)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... either CST or EST time zone with experience in mental health settings and utilization management / review . **Position Purpose:** Performs a clinical review … more
- Point32Health (MA)
- …who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Provide behavioral health utilization review and care management in ... Work as a member of one of the Concurrent Review Team. **Key** **Responsibilities/Duties** **- what you will be...+ Active unrestricted Massachusetts licensure to practice independently as behavioral health clinician (LICSW, LMHC, LMFT, PhD,… more
- CVS Health (Denver, CO)
- …* Knowledge of mental health and substance abuse disorders * Managed care/ utilization review experience * Crisis intervention skills * Position requires ... opportunities to promote quality effectiveness of healthcare services and benefit utilization * Consults and lends expertise to other internal and external… more
- Centene Corporation (Tallahassee, FL)
- …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... the applicable state required. Master's degree for behavioral health clinicians required. Behavioral health clinical knowledge and ability to review and/or… more
- City and County of San Francisco (San Francisco, CA)
- …positions can review your application Under direction, the 2932 Senior Behavioral Health Clinician performs essential duties that include, but are not ... and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties as...techniques. + Knowledge of clinical methods refers to the utilization of the history, culture, socioeconomic background, and environment… more
- City and County of San Francisco (San Francisco, CA)
- …positions can review your application Under general supervision, the 2930 Behavioral Health Clinician performs essential duties that include, but are not ... of San Francisco continuously accepts applications for all permanent Behavioral Health Clinician 2930 positions. Rather than...Housing and the Department of Public Health can then review your application and contact you directly with details… 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 ... **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** *Psychiatric Clinician (LCSW, LPC, LMFT) - Center Behavioral … 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 ... Behavioral Health* **Organization:** **St. Vincent's Medical Center* **Title:** * Behavioral Health Clinician - Norwalk OP* **Location:**… more
- VNS Health (Bronx, NY)
- …Participates and consults with team supervisor in case conferences, staff meetings, utilization review and discharge planning meetings to determine if ... OverviewLicensed Behavioral Health Clinicians provide supportive counseling, advocacy, education,...Care that is strengthening communities with high quality, integrated behavioral health programs. VNS Health Behavioral Health… 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 ... - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well… 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
- CVS Health (Frankfort, KY)
- … utilization /benefit management program. **Required Qualifications** + Licensed independent behavioral health clinician with Kentucky state licensure (LCSW, ... convenient and affordable. **Position Summary** This is a fully **remote** Utilization Review Clinical Consultant with a schedule of **Tuesday-Saturday.**… more
- Wheeler Clinic (Hartford, CT)
- Part Time Gambling Disorders Clinician Hartford, CT, USA Req #1230 Wednesday, September 11, 2024 Wheeler's vision is that all people will have the opportunity to ... of life. POSITION SUMMARY The Part Time Bettor Choice Integrated Health Care Clinician provides clinical and case management services adults 18+ in an integrated… more
- Molina Healthcare (Tampa, FL)
- …seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review / Utilization Review / Utilization Management and ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS… more
- Hartford HealthCare (Torrington, CT)
- …in a convenient, safe and comfortable patient environment. The Licensed Psychiatric Clinician is a Masters prepared Licensed Clinical Social Worker (LCSW), Licensed ... Therapist (LMFT), or Licensed Professional Counselor (LPC). The Licensed Psychiatric Clinician is responsible for the assessment, treatment planning and delivery of… more
- HCA Healthcare (Asheville, NC)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... 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 Mental Health Clinician opening. We promptly review all applications.… more
- Making Opportunity Count Inc (Fitchburg, MA)
- …staff or interns, contributing to a supportive team environment + Engage in utilization review and quality assurance activities, upholding regulatory and ethical ... with a generous sign-on bonus. About This Opportunity As a Mental Health Clinician with MOC, you'll provide compassionate and effective outpatient behavioral … more
- Highmark Health (Columbus, OH)
- …of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member ... Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a ...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
- Educational Alliance, Inc. (New York, NY)
- …appropriateness of current level of treatment, corresponding with LOCADTR and utilization review instruments + Coordinate integrated services with medical, ... providers + Facilitation of individual and group level interventions during other clinician vacation or leave + Ensure that clients' annual medical examinations are… more
- Molina Healthcare (Riverside, CA)
- …are seeking a LVN (Licensed Vocational Nurse) with experience in Prior Authorizations, Utilization Review / Utilization Management and knowledge of Interqual ... degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of… more