- 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 (New York, 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
- New York State Civil Service (Queens Village, NY)
- …experimental psychology, research psychology, industrial psychology, organizational psychology, utilization review , guidance counseling, etc. Additional Comments ... 11427 Duties Description Associate Psychologist functions as an advanced clinician and provide professional psychological services under the clinical supervision… more