- CVS Health (Harrisburg, PA)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health. Utilizes clinical experience and skills in a collaborative process… more
- CVS Health (Harrisburg, PA)
- …Qualifications** + 3+ years of managed care experience + 3+ years of utilization management experience + Crisis intervention skills and experience **Education** ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
- Highmark Health (Harrisburg, PA)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- Magellan Health Services (Bethlehem, PA)
- …collaboration with other members of the clinical team, authorizes and reviews utilization of autism services, including Applied Behavioral Analysis (ABA). ... of the members progress are ongoing. Assures overall case management with the inclusion of behavioral health...Worker - Care Mgmt, Must be an independently licensed behavioral health clinician - Care Mgmt License… more
- UPMC (Pittsburgh, PA)
- …state-of-the-art training and assistance. The General Adult Unit is a 24-bed inpatient behavioral unit, which provides care to individuals in acute crisis with a ... Major Depression, psychotic disorders, anxiety disorders and comorbid personality disorders. The Behavioral Health ICU is a 7-bed unit designed treat patients in a… more