- Centene Corporation (Austin, TX)
- …review BH team + Provides guidance and expert knowledge as appropriate to the behavioral health utilization review team members to ensure the assessment ... criteria + Performs and manages the most complex concurrent review of behavioral health (BH) services to...based on prior experience and recommends improvements related to utilization review processes + Analyzes BH member… more
- Centene Corporation (Tallahassee, FL)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... WORK SCHEDULE IS MONDAY-FRIDAY, 8AM - 5PM. THESE ROLES WILL BE SUPPORTING BEHAVIORAL HEALTH UTILIZATION MANAGEMENT FOR MEDICAID. **Position Purpose:** Performs a… more
- Centene Corporation (Columbus, OH)
- …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 (OK)
- …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... the applicable state required. Master's degree for behavioral health clinicians required. Behavioral health clinical knowledge and ability to review and/or… more
- Molina Healthcare (SC)
- **_JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW BEHAVIORAL HEALTH : REGISTERED NURSE (2 openings)_** **_For this position we are seeking a (RN) ... Nurse with previous experience in Behavioral Health Acute Care, Concurrent Review / Utilization Review / Utilization Management and knowledge of… more
- Centene Corporation (Phoenix, AZ)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... **must reside in the state of Arizona** **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and… more
- City and County of San Francisco (San Francisco, CA)
- …such as chart audit and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties as required. Nature of work requires ... County of San Francisco continuously accepts applications for all permanent Senior Behavioral Health Clinician 2932 positions. Rather than publishing separate… more
- City and County of San Francisco (San Francisco, CA)
- …and County of San Francisco continuously accepts applications for all permanent Behavioral Health Clinician 2930 positions. Rather than publishing separate job ... Housing and the Department of Public Health can then review your application and contact you directly with details...will follow from them Under general supervision, the 2930 Behavioral Health Clinician performs essential duties that… 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 ... **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** *Psychiatric Clinician (LCSW, LPC, LMFT) - Center Behavioral … 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 ... ** Behavioral Health* **Organization:** **St. Vincent's Medical Center* **Title:** * Behavioral Health Clinician II - Norwalk OP* **Location:**… more
- Atlantic Health System (Florham Park, 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
- 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 (Long Beach, CA)
- **JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE** **For this position we are seeking a (RN) Registered Nurse with previous experience ... in Acute Care, Concurrent Review / Utilization Review / ...an integrated delivery of care across the continuum, including behavioral health and long term care, for members with… more
- 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
- 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 in Springfield, MA. The ED Crisis Clinician collaborates with Behavioral Health Crisis Clinicians, ED nursing, and providers to… more
- Molina Healthcare (New York, NY)
- …for Medicaid .** **We are looking for a RN Care Review Clinician with Prior Authorization experience. Candidates with Utilization Management (UM) 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
- Wheeler Clinic (Hartford, CT)
- Part Time Gambling Disorders Clinician Hartford, CT, USA Req #1230 Wednesday, June 5, 2024 Wheeler's vision is that all people will have the opportunity to grow, ... 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
- Molina Healthcare (KY)
- …are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review / Utilization Review / Utilization Management and knowledge ... 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
- University of Virginia (Charlottesville, VA)
- …process for inpatients, emergency department discharge planning processes, frequent utilization of the emergency services system, and identification of members ... and be successful in achieving their health care goals. The Pre-Hospital Clinician for Community Paramedicine is an expanded role to connect underutilized resources… more
- Molina Healthcare (Long Beach, CA)
- …will move to a 3 day/12 hour shift from then on._** **_Previous experience with Utilization Management / Utilization Review is very essential to this role. ... 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