• Utilization Review Clinician

    Centene Corporation (Omaha, NE)
    …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 (11/27/24)
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  • Utilization Review Clinician

    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
    Sacramento Behavioral Healthcare Hospital (11/13/24)
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  • Senior Behavioral Health Clinician

    City and County of San Francisco (San Francisco, CA)
    …positions can review your application Under direction, the 2932 Senior Behavioral Health Clinician performs essential duties that include, but are not ... and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties as...techniques. + Knowledge of clinical methods refers to the utilization of the history, culture, socioeconomic background, and environment… more
    City and County of San Francisco (11/01/24)
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  • Lead Behavioral Health Clinician

    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,… more
    Hartford HealthCare (11/28/24)
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  • Lead Behavioral Health Clinician

    Hartford HealthCare (Groton, CT)
    …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... homes by offering programs throughout Eastern Connecticut. _*Job Summary*_ Lead Behavioral Health Clinician works in coordination with interdisciplinary teams… more
    Hartford HealthCare (11/01/24)
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  • Lead Behavioral Health Clinician

    Hartford HealthCare (Mansfield Center, CT)
    …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... operations in the absence of Program Manager. Key responsibilities of Lead Behavioral Health Clinician : * Conducts a comprehensive bio-psychosocial assessment… more
    Hartford HealthCare (10/24/24)
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  • Behavioral Health Clinician

    City and County of San Francisco (San Francisco, CA)
    …positions can review your application Under general supervision, the 2930 Behavioral Health Clinician performs essential duties that include, but are not ... of San Francisco continuously accepts applications for all permanent Behavioral Health Clinician 2930 positions. Rather than...Housing and the Department of Public Health can then review your application and contact you directly with details… more
    City and County of San Francisco (11/01/24)
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  • Behavioral Health Care Review

    Molina Healthcare (TX)
    **JOB DESCRIPTION** **Opportunity for experienced Utilization Review RN in the state of Texas. You will be hired to join the behavioral health inpatient ... prior authorization reviews as well. Applicants need to have 1 -2 years of behavioral health experience in their career. Preference will be given to those whose UM… more
    Molina Healthcare (11/23/24)
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  • Behavioral Health Clinician

    Hartford HealthCare (Norwalk, CT)
    …Licensed Clinician provides individual, group, couples, and family therapy. Utilization of evidenced based practices are supported. Clinicians are encouraged to ... Behavioral Health* **Organization:** **St. Vincent's Medical Center* **Title:** * Behavioral Health Clinician - Norwalk OP* **Location:**… more
    Hartford HealthCare (10/21/24)
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  • Clinician I/II, Intensive Case Manager…

    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 Behavioral Sciences Campus **Location:** Houston, Texas **Hot** **Category:** Clinical Professionals… more
    UT Health (11/09/24)
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  • Behavioral Health Masters Clinician

    Dartmouth Health (Keene, NH)
    …critical pathways and outcome measurement preferred. Experience in case management, utilization review and discharge planning preferred. Knowledge of JCAHO/NCQA ... Functioning as a member or the Behavioral Health Team, the Master's Level Clinician...is sensitive to patient needs and expectations, promote effective utilization of resources, and support physician practice, while emphasizing… more
    Dartmouth Health (10/28/24)
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  • Behavioral Health Clinician

    Atlantic Health System (Florham Park, NJ)
    …or related field or bachelor's degree with 4+ years of experience as Behavioral Health Clinician . 2. Previous clinical or counseling experience. 3. LSW/LAC ... 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned....100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
    Atlantic Health System (10/09/24)
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  • Licensed Behavioral Health Clinician

    VNS Health (Bronx, NY)
    …Participates and consults with team supervisor in case conferences, staff meetings, utilization review and discharge planning meetings to determine if ... OverviewLicensed Behavioral Health Clinicians provide supportive counseling, advocacy, education,...Care that is strengthening communities with high quality, integrated behavioral health programs. VNS Health Behavioral Health… more
    VNS Health (09/24/24)
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  • Behavioral Health Clinician - Part…

    Atlantic Health System (Hackettstown, NJ)
    …chart documentation. 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned. Required: 1. Master's ... - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well… more
    Atlantic Health System (11/17/24)
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  • IVC Response Unit Clinician

    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 (11/14/24)
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  • Crisis Response Clinician

    City of Durham (Durham, NC)
    …service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management. + Ability ... health, substance use, and conflict mediation needs. The Crisis Response Clinician is responsible for behavioral health assessments, therapeutic interventions,… more
    City of Durham (10/25/24)
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  • Emergency Department Crisis Clinician

    Baystate Health (Springfield, MA)
    …meetings to address treatment objectives. **6.** May collaborate as assigned with utilization review specialist to obtain necessary insurance authorizations and ... to join our ED Crisis Team. The ED Crisis Clinician collaborates with Behavioral Health Crisis Clinicians,...for gathering a psychosocial evaluation through interviews and record review and completing a written assessment with case formulation… more
    Baystate Health (10/23/24)
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  • Care Review Clinician , Inpatient…

    Molina Healthcare (WI)
    …Experience** _Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... 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 (11/22/24)
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  • Care Review Clinician , Inpatient…

    Molina Healthcare (Milwaukee, WI)
    …seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review / Utilization Review / Utilization Management and ... 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 (11/06/24)
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  • Care Review Clinician , Inpatient…

    Molina Healthcare (WA)
    …RN licensure, with 3 years of acute/post acute experience. Candidates with Utilization Management (RN) and clinical review experience are highly preferred.** ... 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 (11/28/24)
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