- Centene Corporation (New York, NY)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
- VNS Health (Manhattan, NY)
- …Participates and consults with team supervisor in case conferences, staff meetings, utilization review and discharge planning meetings to determine if ... looking to make a profound impact in the community? As a Licensed Behavioral Health Clinician with VNS Health's Shelter Act program, you'll play a pivotal role… more
- Molina Healthcare (Manhattan, NY)
- …Review Clinicians with Prior Authorization experience. Experience with Utilization Management (UM) is highly preferred. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses ... 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
- Molina Healthcare (Yonkers, NY)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... 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
- 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 hospitals and healthcare facilities include Denville Hospital, Dover Hospital, Behavioral Health Centers in Boonton, Denville, and Parsippany, and an Imaging… more
- New York State Civil Service (Bedford Hills, NY)
- …experimental psychology, research psychology, industrial psychology, organizational psychology, utilization review , guidance counseling, etc. Additional Comments ... 10507 Duties Description Associate Psychologist functions as an advanced clinician and provide professional psychological services under the clinical supervision… more