• Lead Utilization Review

    Centene Corporation (Austin, TX)
    review BH team + Provides guidance and expert knowledge as appropriate to the behavioral health utilization review team members to ensure the assessment ... criteria + Performs and manages the most complex concurrent review of behavioral health (BH) services to...based on prior experience and recommends improvements related to utilization review processes + Analyzes BH member… more
    Centene Corporation (06/30/24)
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  • Utilization Review Clinician

    Centene Corporation (Austin, TX)
    …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
    Centene Corporation (07/02/24)
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  • Care Review Clinician , Prior Auth…

    Molina Healthcare (TX)
    …are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review / Utilization Review / Utilization Management and knowledge ... 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
    Molina Healthcare (06/29/24)
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  • BCBA Board Certified Behavior Anaylst- Youth

    BrightSpring Health Services (San Antonio, TX)
    …+ In-service behavior clinician (s) on all changes made to regulations. + Review all billing for BCBAs, BCaBA's, RBTs and Behavior Technicians on a minimum the ... Our Company SpringHealth Behavioral Health and Integrated Care Overview Behavior Clinic...professional teams. Provide staff/family training on implemented programs. + Review all Functional Behavior Assessments/Behavior Support Plans prior to… more
    BrightSpring Health Services (06/25/24)
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  • Licensed Professional Mental Health Counselor…

    Veterans Affairs, Veterans Health Administration (Balcones Heights, TX)
    …the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The Suicide Prevention Program Coordinator ... Care Managers, and Community Engagement Program Coordinators (CEPCs) in Behavioral Health Services. The Suicide Prevention Program Coordinator reports directly… more
    Veterans Affairs, Veterans Health Administration (07/05/24)
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  • Chief, Pediatric Cardiology and Executive…

    UT Health (Houston, TX)
    …in the form of an annual review . + Develops a quality-assurance, peer- review program to assess divisional and individual clinician performance to identify ... in practice management activities to optimize scheduling, clinical workflow, utilization of allied health professionals, support staff, and the electronic… more
    UT Health (05/31/24)
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