- Magellan Health Services (San Diego, CA)
- …of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. ... influence quality of care. General Job Information Title Behavioral Health Care Manager Remote, must be Licensed...Clinical Work Experience - Preferred Education - Required Associate - Nursing, Bachelor's - Social Work, Master's -… more
- Bon Secours Mercy Health (Springfield, OH)
- …the health care team in cooperation with and under the direction of a clinical manager or designee as defined by the relevant Standards and Scope of Practice ... At Bon Secours Mercy Health , we are dedicated to continually improving ...Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Primary Function/General Purpose of Position**… more
- Bon Secours Mercy Health (Youngstown, OH)
- …the health care team in cooperation with and under the direction of a clinical manager or designee as defined by the relevant Standards and Scope of Practice ... At Bon Secours Mercy Health , we are dedicated to continually improving ...Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Will float between St. Elizabeth… more
- Project Renewal, Inc. (New York, NY)
- …Program Overview: Reporting to the Mobile Operations Manager , the Mobile Health Patient Services Associate is responsible for working in collaboration with ... Title: Patient Services Associate Program : Mobile Health -...follow-up calls for consult notes + In collaboration with Clinical Director and Mobile Operations Manager , follow… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital utilization review… more
- Elevance Health (Asheville, NC)
- …considered for employment, unless an accommodation is granted as required by law._ The Clinical Care Advisor (Special Programs Case Manager I) is responsible for ... child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless… more
- Elevance Health (Richmond, VA)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... by law._ **Carelon Payment Integrity** is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Elevance Health (Norfolk, VA)
- ** Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... employment, unless an accommodation is granted as required by law. The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- Henry Ford Health System (Detroit, MI)
- …Infection Prevention and Control (IPC) and Antimicrobial Stewardship (AMS), the Associate Medical Director of IPC/AMS is responsible for implementation and oversight ... limited to regulatory readiness and maintenance, and reduction of healthcare associate infections (such as catheter associated urinary tract infections, central line… more
- CVS Health (Oklahoma City, OK)
- …And we do it all with heart, each and every day. **Position Summary** The Manager , UM Clinical Services, conducts oversight and management of clinical team ... independent Behavioral Health licensure (LCSW, LPC, LMFT,) or if RN, Associate Degree or Nursing Diploma required with unrestricted state license in Oklahoma… more