- Hartford HealthCare (Danielson, CT)
- …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... and then to the student's home. *_Job Summary_* Lead Behavioral Health Clinician works in coordination with interdisciplinary teams to organize, prepare,… more
- Highmark Health (Hartford, CT)
- …of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member ... Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a ...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
- The Hartford (Hartford, CT)
- …+ Case management and discharge planning experience preferred + Managed care/ utilization review experience preferred + Crisis intervention skills preferred ... appropriate. Advises on highly complex claims at multidisciplinary clinical review roundtables to ensure optimal outcomes. Determines when claims...+ Licensed independent Behavioral Health clinician in state of service… more
- Hartford HealthCare (Torrington, CT)
- …program participants through redirection, modeling, verbal and non-verbal reinforcements 4. Utilization of behavioral medication point based level systems. ... safe and comfortable patient environment. *Job Summary * Outpatient Behavioral Health Psychiatric Technicians provide group based direct care...episodes of target behaviors during group and work with clinician to review points and level system… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- …+ Prepares and/or reviews reports, medical records and correspondence; + Performs utilization review and management functions; + Attends court hearings as ... mission is to promote the overall health and wellness of persons with behavioral health needs through an integrated network of holistic, comprehensive, effective and… more
- The Cigna Group (Bloomfield, CT)
- …part of Cigna Pharmacy Management, the Pharmacy Sales Advisor is a licensed clinician who serves as the primary pharmacy benefits subject matter expert supporting ... of an integrated benefit, which typically includes Medical, Pharmacy, and Behavioral . This includes service support, reporting, pricing, and/or other performance… more