- Centene Corporation (Jefferson City, MO)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... or EST time zone with experience in mental health settings and utilization management / review . **Position Purpose:** Performs a clinical review and assesses… more
- Centene Corporation (Tallahassee, FL)
- …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...teams to review care services related to Applied Behavior Analysis Services… more
- Point32Health (MA)
- …Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Provide behavioral health utilization review and care management in order to ensure ... plans of treatment. Work as a member of one of the Concurrent Review Team. **Key** **Responsibilities/Duties** **- what you will be doing** Coordinate the delivery… more
- CVS Health (Denver, CO)
- …* Knowledge of mental health and substance abuse disorders * Managed care/ utilization review experience * Crisis intervention skills * Position requires ... opportunities to promote quality effectiveness of healthcare services and benefit utilization * Consults and lends expertise to other internal and external… more
- WMCHealth (West Nyack, NY)
- HC QA-Coding Review Clinician Company: Good Samaritan Hospital Home Care City/State: West Nyack, NY Category: Home Health Department: HH Quality Assurance Union: ... Details: Summary: The Home Care Quality Assurance and Coding Review Clinician is responsible for assisting the...OASIS accuracy issues. + Performs quality improvement measures and utilization review of medical records under the… 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
- Molina Healthcare (Tampa, FL)
- …seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review / Utilization Review / Utilization Management and ... or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
- Hartford HealthCare (Torrington, CT)
- …in a convenient, safe and comfortable patient environment. The Licensed Psychiatric Clinician is a Masters prepared Licensed Clinical Social Worker (LCSW), Licensed ... Therapist (LMFT), or Licensed Professional Counselor (LPC). The Licensed Psychiatric Clinician is responsible for the assessment, treatment planning and delivery of… more
- Hartford HealthCare (Torrington, CT)
- …Licensed Clinician provides individual, group, couples, and family therapy. Utilization of evidenced based practices are supported. Clinicians are encouraged to ... in a convenient, safe and comfortable patient environment. The Licensed Psychiatric Clinician is a Masters prepared Licensed Clinical Social Worker (LCSW), Licensed… more
- Wheeler Clinic (Hartford, CT)
- Part Time Gambling Disorders Clinician Hartford, CT, USA Req #1230 Wednesday, September 11, 2024 Wheeler's vision is that all people will have the opportunity to ... of life. POSITION SUMMARY The Part Time Bettor Choice Integrated Health Care Clinician provides clinical and case management services adults 18+ in an integrated… more
- City and County of San Francisco (San Francisco, CA)
- …and + May perform Quality Improvement activities such as chart audit and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties ... Francisco continuously accepts applications for all permanent Senior Behavioral Health Clinician 2932 positions. Rather than publishing separate job ads for every… 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 ... Homelessness and Supportive Housing and the Department of Public Health can then review your application and contact you directly with details about their positions.… more
- Making Opportunity Count Inc (Fitchburg, MA)
- …staff or interns, contributing to a supportive team environment + Engage in utilization review and quality assurance activities, upholding regulatory and ethical ... a generous sign-on bonus. About This Opportunity As a Mental Health Clinician with MOC, you'll provide compassionate and effective outpatient behavioral health… more
- Hartford HealthCare (Norwalk, CT)
- …Licensed Clinician provides individual, group, couples, and family therapy. Utilization of evidenced based practices are supported. Clinicians are encouraged to ... clinicians through clinical supervision, weekly clinical team meetings to review cases and interact with colleagues, professional development opportunities,… more
- HCA Healthcare (Asheville, NC)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... we encourage you to apply for our Mental Health Clinician opening. We promptly review all applications. Highly qualified candidates will be directly contacted… more
- The Home for Little Wanderers (Walpole, MA)
- …documentation and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + Communicate and share ... Eligible Up To $5000!** The Home for Little Wanderers is seeking a Clinician at their Walpole location to provide age-appropriate, culturally sensitive therapy for… more
- Highmark Health (Columbus, OH)
- …of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member ... Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a ...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
- The Home for Little Wanderers (Plymouth, MA)
- …documentation and assessments in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + Attend in-service ... located in Plymouth, MA is looking for a full-time Clinician to work in their co-ed residential treatment facility...kids. Under the direction of the Clinical Coordinator, the Clinician will be responsible for the following: + Provide… more
- The Home for Little Wanderers (Walpole, MA)
- …documentation and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + Attend in-service training ... $5000!** The Home in Walpole, a trauma-informed intensive group home seeks a Clinician for their program situated on a large multi-unit campus. Under the direction… more
- The Home for Little Wanderers (Boston, MA)
- …reports, documentation and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + May be required to ... manager at DCF Central Office. The Per Diem YPC Clinician at The Home for Little Wanderers engages the...the permanency planning process for /with the youth. The Clinician searches for and engages family network, considers what… more