- Addiction Recovery Care (Louisa, KY)
- …and stewardship are key elements of every thing we do! We are hiring a Utilization Review Clinician for our growing team! The Utilization ... + Perform initial, concurrent, and retrospective reviews utilizing concurrent review forms and/or medical notes, clinical notes, medication lists, and/or… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …mental health and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: $31.00-$49.24 PER HOUR ... monitor and optimize reimbursement for external reviewers/third party payers. The Utilization Review Clinician maintains knowledge of, participates… more
- CVS Health (Harrisburg, PA)
- …through Friday 8:30-5pm EST. No weekends or holidays. - 1+ years of utilization review / utilization management required **Preferred Qualifications** - 3+ ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
- Kepro (Indianapolis, IN)
- …issues. + A strong knowledge of Quality Assurance (QA) and Utilization Review (UR). + A contemporary clinician who understands major trends in healthcare ... experience or Quality Assurance committee responsibility in a hospital setting. + Utilization Management (UM) review experience. + Experience as a physician… 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
- City of Durham (Durham, NC)
- …service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management. + Ability ... Crisis Response Clinician Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/4689381) Apply Crisis Response Clinician Salary $65,749.00 -… more
- Molina Healthcare (Warren, MI)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). **WORK SCHEDULE: Mon - Fri /… more
- Molina Healthcare (Covington, KY)
- …seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review / Utilization Review / Utilization Management and ... knowledge of Interqual / MCG guidelines. WI or COMPACT RN LICENSURE IS REQUIRED within 30 days of employment._** **_Ability/knowledge to cross train, inpatient medical to inpatient BH or inpatient Medical to PA is preferred._** **_Excellent computer skills and… more
- Hartford HealthCare (Groton, CT)
- …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... and then to the student's home. *_Job Summary_* Lead Behavioral Health Clinician works in coordination with interdisciplinary teams to organize, prepare, and deliver… more
- Hartford HealthCare (Dayville, CT)
- …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... throughout Eastern Connecticut. _**_ _*Job Summary*_ Lead Behavioral Health Clinician works in coordination with interdisciplinary teams to organize, prepare,… 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
- Texas A&M University System (Bryan, TX)
- Job Title TCHATT Clinician III / MS III Agency Texas A&M University Health Science Center Department Psychiatry and Behavioral Science Proposed Minimum Salary ... Staff Job Description Glimpse of the Job The TCHATT Clinician III/MS III delivers direct clinical services and acts...assists with program evaluation activities to track and analyze utilization and effectiveness of services. What you need to… more
- Hartford HealthCare (Mansfield Center, CT)
- …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... absence of Program Manager. Key responsibilities of Lead Behavioral Health Clinician : * Conducts a comprehensive bio-psychosocial assessment and establishes a care… 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
- Elevance Health (Rancho Cordova, CA)
- …or equivalent. + Requires a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted RN license ... The Med Mgmt Clinician Sr is responsible for ensuring appropriate, consistent...more junior Clinicians. Approval decisions may be subject to review by more senior nurses or Medical Director. Primary… more
- KidsPeace Childrens Hospital (Temple, PA)
- …documentation including, but not limited to biopsychosocial and safety assessments, QA, chart review and utilization review . + Co-manage the therapeutic ... The Senior Clinician is primarily responsible for oversight and coordination...team including therapists and case managers. Communicate clearly with utilization , benefits and appeals. KidsPeace is proud to be… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health System is Seeking a Full-Time Lead Advanced Practice Clinician for Neurocritical Care in Morristown Atlantic Health System, one of New Jersey's ... healthcare networks, is seeking a Full-Time Lead Advanced Practice Clinician (APC) to join the Trauma and Acute Care...and adherence to policy through practice analysis and case review with physicians. + Conducts regularly scheduled meetings with… 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 ... sponsorship are available.** The Home for Little Wanderers is seeking a Clinician at their Walpole location to provide age-appropriate, culturally sensitive therapy… more
- UT Health (Houston, TX)
- …will include intensive case management, contributing to treatment planning, participating in utilization review for IOP level of care, and conducting a ... Clinician I/II, Intensive Case Manager - UTHealth Houston...progress toward discharge in order to prevent both the over- utilization and the under- utilization of inpatient treatment… more