- Northeast Family Services (Warwick, RI)
- Northeast Family Services is seeking an experienced and dedicated Director of Behavioral Health Billing who will be responsible for overseeing all aspects of ... billing operations. This role will report to the Director of Operations and is responsible for overseeing a...billing experience + Must have billing experience in the behavioral health field + Advanced computer skills… more
- Highmark Health (Providence, RI)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Highmark Health (Providence, RI)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Highmark Health (Providence, RI)
- …conceptualize and design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Conviva (Providence, RI)
- **Become a part of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing ... enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Magellan Health Services (Newport, RI)
- …child daycare centers and schools, and consultation to installation command regarding behavioral health issues affecting military personnel and their family ... - Required Clinical Work Experience - Preferred Education - Required Master's - Behavioral Health , Master's - Social Work Education - Preferred License and… more
- Charter Care Health Partners (Providence, RI)
- Summary: Under the direction of the System Director of Outpatient and Integrated Behavioral Health , ED Clinicians will function as clinical Behavioral ... of care. Clinician will have working knowledge of insurance prior authorization, medical necessity criteria and ASAM criteria. Clinicians will have the ability to… more
- Evolent Health (Providence, RI)
- …as required. + Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory… more