- Kepro (Minneapolis, MN)
- …vital partner for health solutions in the public sector. Acentra is looking for a Utilization Management - Mental Health Clinical Reviewer to join our ... Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver… more
- Humana (Columbus, OH)
- …of objectives and determines approach, resources, schedules and goals. The Manager, Utilization Management Behavioral Health uses clinical knowledge, ... community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health...case manager required. + 1 or more years of clinical supervisory, team lead, project management , lead… more
- The Cigna Group (Bloomfield, CT)
- …+ Behavioral Telephonic Consultation + Confide Services Assessment + Brief Case Management + Utilization Management **Duties and Responsibilities:** + ... rotating shifts, weekends and holiday time.** As a 24/7 Clinical Navigation & Support (CN&S) Care Manager (CM) you...will help customers navigate the mental health system, including utilization of benefits and accessing direct care services. As… more
- Amergis (Martinsville, IN)
- …the patient's clinical record. *Maintain patient caseload (including all case management and utilization review updates, treatment planning duties, and ... or required to perform the job. *Interface with the clinical team in decision-making process involving patients to include...criteria in determining appropriate level of care based on ASAM criteria. *Obtain previous records that are relevant to… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …to HMH Organizational competencies and standards of behavior. 16. Works with the utilization management team to complete peer to peer reviews and initiate ... Counselor I provides individual, family and group therapies and case management to individuals who have substance use disorders. **Responsibilities** A day… more
- Elevance Health (Seven Fields, PA)
- …a minimum of 3 years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as ... Analyzes data and prepares concise, accurate and meaningful quality management reports in accordance with Company procedures. + Defines...LSW, LPC or RN license + Strong knowledge of ASAM and substance use disorder experience + Experience with… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …in the use of computer software applications for drafting documents, data management , maintaining accurate, timely and thorough clinical documentation and ... the incumbent will be assessed utilizing the American Society of Addiction Medicine ( ASAM ) Multidimensional Assessment tool that is used to place a patient into an… more
- CVS Health (Austin, TX)
- …other Medical Leadership, Pharmacy Director, clinical staff (including those in utilization management , care management , quality management ), and ... and is responsible for * Leadership and counsel for utilization management * Leadership and participation in...experience in the treatment of substance use disorders, including utilization of ASAM criteria, and an understanding… more
- St. Luke's University Health Network (Sellersville, PA)
- …. Client information summary (CIS) completed within 5 days of discharge . ASAM completed according to utilization review schedule as established by funding ... SUD treatment programs. Plans, coordinates, and provides therapeutic and case management services for residential clients and their families. JOB DUTIES AND… more
- EvergreenHealth Monroe (Monroe, WA)
- …Medicine ( ASAM ) criteria, WAC regulations as they pertain to clinical services and counseling treatment. Knowledge of 12-Step Recovery Programs. Ability to ... driver's license. SPECIAL EQUIPMENT, SKILLS, OR OTHER REQUIREMENTS: Demonstrated excellent clinical skills and knowledge of patient care techniques and procedures in… more