- 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 ... easier and lives better. As a member of the Behavioral Health team, our Clinicians provide utilization ...utilization management (such as prospective concurrent and retrospective review ) to best meet the member's specific healthcare needs… more
- Centene Corporation (Springfield, IL)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... licensed in Illinois, and have experience in various mental health settings and utilization management / review . **Position Purpose:** Performs a clinical … more
- Point32Health (MA)
- …who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Provide behavioral health utilization review and care management in ... Work as a member of one of the Concurrent Review Team. **Key** **Responsibilities/Duties** **- what you will be...+ Active unrestricted Massachusetts licensure to practice independently as behavioral health clinician (LICSW, LMHC, LMFT, PhD,… 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
- CVS Health (Harrisburg, PA)
- …such as ambulatory care or outpatient program + Managed care and utilization review experience preferred. + Crisis intervention skills preferred. **Education** ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
- Monte Nido (Miami, FL)
- …lives while providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician ** **Monte Nido** **Remote** **Monte Nido has ... within an intimate home setting. We are seeking a Utilization Review Clinician to join...active Independent Professional Licensure) + 1+ years' experience in behavioral health utilization review +… more
- Centene Corporation (Columbus, OH)
- …MUST RESIDE IN STATE OF OHIO **Position Purpose:** Performs a post-service retrospective review of member medical records and assessing care related to behavioral ... cost efficiency and within compliance. + Performs a post-service retrospective review of member's medical records provided against guidelines to determine if… more
- 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 (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
- 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 (Summit, NJ)
- …or related field or Bachelor's Degree with 4+ years of experience as Behavioral Health Clinician . 2. Previous clinical or counseling experience. Preferred: 1. ... 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
- VNS Health (Queens, 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
- Atlantic Health System (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 (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, 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
- Molina Healthcare (Bowling Green, KY)
- …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
- 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
- Molina Healthcare (Phoenix, AZ)
- …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
