- Centene Corporation (Phoenix, AZ)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and...health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review… more
- Centene Corporation (Phoenix, AZ)
- …at our Tempe and/or Tucson offices.** **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care ... within utilization management. + Oversees the behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines… more
- Centene Corporation (Phoenix, AZ)
- …degree for behavioral health clinicians preferred. Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans ... of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder...required. Knowledge of ABA services and BH utilization review process required. Experience working with… more
- Molina Healthcare (Mesa, AZ)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- CVS Health (AZ)
- …the direction of the Lead Director, Service Operations, this position will focus on utilization , quality and fraud waste and abuse review for individual cases ... review guidelines, and clinical criteria based on extensive knowledge of health care delivery systems, utilization methods, reimbursement methods, and… more
- Adelante (Mesa, AZ)
- Behavioral Health Medical Assistant - Mesa, AZ Job Details Job Location Adelante Healthcare Mesa - Mesa, AZ Position Type Full Time Education Level HS Diploma ... 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 (Tucson, AZ)
- …degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 ... good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians...in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management… 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
- CVS Health (Phoenix, AZ)
- …care management activities with members and family to ensure that their medical and behavioral health needs are met, as well as to enhance the member's ... + Using holistic approach, consults with managers, medical directors, and/or other physical/ behavioral health support staff and providers to overcome barriers to… more
- Adelante (Buckeye, AZ)
- … health issues and provider's education to assist with enhancing primary care utilization of behavioral health interventions + Promote a smooth interface ... will be responsible for completing initial intakes for the behavioral health program. The therapist will make...recommendations for a portion of these patients by record review without seeing the patients. The therapist will contact… more
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