- Cambia Health Solutions, Inc (Portland, OR)
- Behavioral Health Utilization Management Clinician Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to ... journeys easier.Are you a licensed Clinician with a passion for Utilization Management wanting to make a career change? Are you wanting to make positive… more
- Compass Health Network (Wentzville, MO)
- …client records, following agency and state regulations including knowledge of utilization management criteria* Will provide culturally competent services to ... and need you to make this happen! The Crisis Clinician /Triage Clinician Lead is part of the...* Oversee day-to-day operations and tasks of supervisees* Complete performance development/AIM process* Time card management - manages time… more
- Compass Health Network (Wentzville, MO)
- …client records, following agency and state regulations including knowledge of utilization management criteriaWill provide culturally competent services to meet ... and need you to make this happen! The Crisis Clinician / Triage Clinician Lead is part of...operations and tasks of superviseesComplete performance development/AIM processTime card management - manages time sheets EDUCATION Master's degree in… more
- Pacer Staffing (Atlanta, GA)
- …Job Description: Summary: This individual contributor position reports to the Directors of Utilization Management (UM) and Referral Management (RM) and ... Registered Nurse, with current unrestricted license in appropriate state 4+ years Utilization Management experience Proficient at in-depth analysis of clinical… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …ensure success of care gap closure for ambulatory care through clinician and patient engagement. Minimum Job QualificationsLicensure or other certifications: Pharm ... to improve patient outcomes and reduce costs.Demonstrate strong people performance management skills to ensure contract thresholds are being met.Raises barriers to… more
- CVS Health (Tallahassee, FL)
- …service like Targeted Care Management , Psychosocial Rehabilitation, or related utilization management experience with these services . Must have active ... Monday-Friday 8:30a-5:00p EST. **Position Summary** The Medicare Behavioral Health Outpatient clinician will be part of the Medicare precertification team. Members… more
- CVS Health (Jefferson City, MO)
- …and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3 years of ... standard business hours. No nights, weekends or holidays.** **As a UM Clinician Behavioral Health you will:** + Utilize clinical experience and skills in… more
- 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 ... to promote quality effectiveness of healthcare services and benefit utilization . **Required Qualifications** + Must have active current and unrestricted… more
- Humana (Columbus, OH)
- …opportunities are addressed. They will work closely with established functions inside utilization management (Medical Director, clinician decision making ... verbal communication **Preferred Qualifications** + Registered Nurse + Experience in Medicare Utilization Management + Project Management Professional (PMP)… more
- Hartford HealthCare (Norwich, CT)
- …Psychiatric Clinician (LCSW, LMFT, LPC, LADC) - Utilization Management * **Location:** *Connecticut-Norwich-Backus Hospital (10309)* **Requisition ID:** ... We invite you to become part of Connecticut's most comprehensive healthcare network. Join us at Backus Hospital as we live our values every day. As part of Hartford HealthCare we create a better future for healthcare in Connecticut and beyond. By embodying… more
- Centene Corporation (Springfield, IL)
- …licensed in Illinois, and have experience in various mental health settings and utilization management / review. **Position Purpose:** Performs a clinical review ... Licensure and/or Compact State Licensure required Additional Details: * Department: Illinois Utilization Management Pay Range: $25.97 - $46.68 per hour Centene… more
- Centene Corporation (Tallahassee, FL)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...to members and their families regrading ABA and BH utilization process + Provides feedback to leadership on opportunities… more
- City of Durham (Durham, NC)
- …service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review, and data management . + Ability ... with service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review, and data management ? + No… more
- Hartford HealthCare (Farmington, CT)
- …to announce a position opening for a part-time (32 hours/week) behavioral health clinician (LCSW, PhD or PsyD) in Hartford HealthCare's Tallwood Men's Health center ... variety of medical conditions. *Job Summary* The Tallwood Men's Health behavioral health clinician is a very collaborative position, closely connected to the team of… more
- Wheeler Clinic (Hartford, CT)
- …stages of life. POSITION SUMMARY The Part Time Bettor Choice Integrated Health Care Clinician provides clinical and case management services adults 18+ in an ... Part Time Gambling Disorders Clinician Hartford, CT, USA Req #1230 Tuesday, August...beliefs. Provides training and technical assistance to clinicians on utilization of the electronic health record. Reports child abuse/neglect… more
- Wheeler Clinic (New Britain, CT)
- …30, 2024 POSITION SUMMARY The Fee For Service - Bilingual Integrated Health Care Clinician provides clinical and case management services for children and adults ... Fee For Service Bilingual Integrated Healthcare Clinician New Britain, CT, USA Req #1267 Tuesday,...beliefs. Provides training and technical assistance to clinicians on utilization of the electronic health record. Reports child abuse/neglect… more
- Elevance Health (Nashville, TN)
- …days per week** **$1,250 Sign On Bonus** The **LTSS Service Coordinator - RN Clinician ** is responsible for overall management of member's case within the scope ... **Anticipated End Date:** 2024-11-30 **Position Title:** LTSS Service Coordinator-RN Clinician **Job Description:** **LTSS Service Coordinator - RN Clinician **… more
- City and County of San Francisco (San Francisco, CA)
- …Francisco continuously accepts applications for all permanent Senior Behavioral Health Clinician 2932 positions. Rather than publishing separate job ads for every ... positions can review your application Under direction, the 2932 Senior Behavioral Health Clinician performs essential duties that include, but are not limited to the… more
- City and County of San Francisco (San Francisco, CA)
- …of San Francisco continuously accepts applications for all permanent Behavioral Health Clinician 2930 positions. Rather than publishing separate job ads for every ... can review your application Under general supervision, the 2930 Behavioral Health Clinician performs essential duties that include, but are not limited to the… more
- Hartford HealthCare (Hartford, CT)
- …Hospital is pleased to announce a position opening for a behavioral health clinician (LCSW, PsyD, PhD) in Hartford Healthcare's Surgical and Medical Weight Loss ... 2 diabetes, sleep problems, and cardiovascular disease. *Job Summary* The behavioral health clinician 's role in Surgical and Medical Weight Loss (SMWL) is a highly… more
