- CVS Health (Phoenix, AZ)
- …+ Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... care issues through established channels + Ability to speak to medical and behavioral health professionals to influence appropriate member care. + Utilizes… more
- Immigration and Customs Enforcement (Eloy, AZ)
- …Suicide Risk management, etc.) and work collaboratively to address the same. Participates in review of behavioral health processes and procedures within the ... Office of the Deputy Assistant Director of Clinical Services, Behavioral Health Unit (BHU). This position is...identified as having a serious mental illness using Mental Health Review form (IHSC-883). Works in conjunction… more
- Humana (Phoenix, AZ)
- …care management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and ... part of our caring community and help us put health first** The Behavioral Health ...insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review… more
- CenterWell (Phoenix, AZ)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN...medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part… more
- CenterWell (Phoenix, AZ)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Healthcare isn't just about health ...medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part… more
- Centene Corporation (Phoenix, AZ)
- …and performs review of member clinical records and services related to behavioral health and substance use. + Interpret and present program results and ... standards **Education/Experience:** **Master's Degree Master's degree in Social Work or Behavioral Health required:** 4+ years experience providing behavioral… more
- Adelante (Phoenix, AZ)
- Medical Assistant ( Behavioral Health ) - West Phoenix Job Details Job Location Adelante Healthcare West Phoenix - Phoenix, AZ Position Type Full Time Education ... the Arizona Department of Public Safety for all specialty behavioral health locations + Has one or...to patients regarding obtaining and collecting of specimens. + Review patient plan and educates patient on discharge instructions… more
- Molina Healthcare (Mesa, AZ)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review , and/or other utilization management… more
- Molina Healthcare (Tucson, AZ)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... disorders. * Approves prior authorization requests for BHT treatment by reviewing Behavioral Health Therapy (BHT) assessments and treatment plans for medical… more
- Molina Healthcare (Chandler, AZ)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more