- Sutter Health (Berkeley, CA)
- …and others to ensure appropriate utilization and quality care through utilization review , tracking and evaluation and objectively compare criteria with ... clinical nursing staff and other departments regarding documentation required for utilization review activities and processes. Collaborate with medical, nursing… more
- Spectrum Billing Solutions (Skokie, IL)
- …billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management ... | UR Specialist | Revenue Cycle Utilization Review Specialist | ABA...Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing Specialist… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …leadership, teamwork, and communication skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical ... Education Associates Degree preferred Minimum Work Experience Utilization Review experience preferably in a behavioral /psychiatric healthcare setting or… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …Time + Employee Discount Program + Employee Assistance Program Job Description: The Utilization Review Specialist is responsible for monitoring adherence to ... Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage. Benefits Include +...the hospital's utilization review plan to ensure the effective… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...of care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround… more
- CareFirst (Baltimore, MD)
- …Qualifications** **PURPOSE:** Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent ... and benefit coverage. Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist , will analyze clinical information,… more
- HCA Healthcare (San Antonio, TX)
- …we encourage you to apply for our Clinical Pharmacist Specialist Behavioral Health opening. We promptly review all applications. Highly qualified candidates ... you have the career opportunities as a(an) Clinical Pharmacist Specialist Behavioral Health you want with your...multidisciplinary and bedside rounds + You will complete drug utilization reviews to promote rational drug therapy and implement… more
- LifePoint Health (Sylva, NC)
- …or local law. **Job:** ** Behavioral Health* **Organization:** ** **Title:** * Behavioral Health Specialist - PRN* **Location:** *NC-Sylva* **Requisition ID:** ... comprehensive first evaluation for patients in the involuntary commitment process. Behavioral Health responsibilities in this role may include: group therapy;… more
- Granville Health System (Oxford, NC)
- …case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; developing, ... level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients who… more
- LifePoint Health (Danville, VA)
- *Registered Nurse, RN - Utilization Review Case Manager* Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ** Must have ... Utilization Review experience.** ** * ** *Your...of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete an application, or have… more
- Spokane County (Spokane, WA)
- …Integrated Care and the Behavioral Health Administrative Services Organization Utilization Review Integrated Care. TOTAL COMPENSATION: $85,812 - $120,126 ... duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator: + Performs utilization… more
- Kepro (AR)
- …based on review of clinical records. Preferred Qualifications/Experience: + Utilization Review / Utilization Management experience. + Clinical quality ... Clinical Director and Team Supervisor, monitors provider trends, reviews government-funded behavioral health program utilization activities, and makes internal… more
- System One (Baltimore, MD)
- …and benefit coverage. Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist , will analyze clinical information, ... is staffing a contract to hire opportunity for a Utilization Management Nurse to support a leading health insurance...appropriateness and authorization of clinical services both medical and behavioral health. Pay: $46/HR 90% Remote May go onsite… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST - F/C - 67056731 APD/ DDDP CHATTAHOOCHEE, FL Date: Nov 13, 2024 The State Personnel System is an E-Verify employer. For more information ... No: 837602 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - F/C - 67056731 APD/ DDDP CHATTAHOOCHEE, FL Pay Plan: Career… more
- BriteLife Recovery (Hilton Head Island, SC)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... Time (Saturday and Sunday 7am-7pm) Full Time (Friday, Saturday, and Sunday 7am-7pm) BEHAVIORAL HEALTH TECHNICIAN/ DRIVER Do you work for a company that no longer… more
- BriteLife Recovery (West Kill, NY)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... PRN/ PART-TIME BEHAVIORAL HEALTH TECHNICIAN/ DRIVER Do you work for...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS), or willingness to pursue + Valid Driver's… more
- State of Colorado (Lakewood, CO)
- …Evaluator and Quality Assurance Specialist --Office of Community Corrections Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4740672) Apply ... Program Evaluator and Quality Assurance Specialist --Office of Community Corrections Salary $70,140.00 - $112,236.00 Annually...workplace. CDPS is an equal opportunity employer. See ourEEOD Utilization Report (2020)Why Do I Love My Job at… more
- CareOregon (Portland, OR)
- …of care. + Assist in the compliance monitoring of provider network to review utilization , quality improvement, and evaluation programs for members within ... Use Disorder/dual diagnosis work + Minimum 3 years' experience as a program specialist /coordinator in behavioral health and/or social services + Valid driver's… more
- HCA Healthcare (San Antonio, TX)
- …acute inpatient rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...growth, we encourage you to apply for our Rehab Specialist opening. We promptly review all applications.… more
- HCA Healthcare (Dallas, TX)
- …this opportunity compelling, we encourage you to apply for our Clinical Pharmacist Specialist BMT PRN opening. We promptly review all applications. Highly ... **Description** **Clinical Pharmacist Specialist BMT** **BMT Experience required** **PRN Position** **Introduction**...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more