- Veterans Affairs, Veterans Health Administration (Erie, PA)
- …of the Recreation Therapy Services for the facility's 8 bed domiciliary with the Behavioral Service at Erie VA Medical Center. This position is of an integrated ... that contributes to the therapeutic goals for Veterans diagnosed primarily with mental health and/or substance use disorders, as well as a variety of complex medical… more
- UnityPoint Health (Iowa City, IA)
- …Assists with crisis services placement, where applicable. * Provides consultation regarding behavioral health issues as needed to other departments. * ... with interdisciplinary team and other agencies. * Provides consultation regarding behavioral health or medical issues as needed to staff/departments.… more
- Ascension Health (Appleton, WI)
- …Medical Affairs Administration **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer ... performance and quality improvement, risk management and efficient resource utilization . + Provides leadership to management within areas of responsibility,… more
- Highmark Health (Columbia, SC)
- …**JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most ... URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** **JOB SUMMARY** This role requires a strong understanding of pharmacy benefits, insurance processes, and ... overseeing referral screening/management. **ESSENTIAL RESPONSIBILITIES** + Prior Authorization & Utilization Management: Reviews pharmacy utilization management (UM)… more
- Beth Israel Lahey Health (Burlington, MA)
- …the Manager of Nursing Resources and Throughput in daily monitoring the utilization of nursing resources. Prepares weekly reports tracking and trending ... utilization of resources by unit to ensure maximum efficacy...Complies with all Lahey Clinic Policies. 11) Complies with behavioral expectations of the department and Lahey Clinic. 12)… more
- Health Advocates Network (Harrisburg, PA)
- …areas as related to the position need: long term care, acute care setting, behavioral health setting, drug and alcohol setting, managed care, quality management/ ... Three years of professional experience with medical assistance (MA), health care services, or human services Minimum of three...health care services, human services, long term care, utilization review, or knowledge of home care Knowledge of… more
- UPMC (Pittsburgh, PA)
- …and modify the care plan with member, caregivers, PCP, specialists, community resources, behavioral health contractor, and other health plan and system ... opportunity to use your nursing background in outpatient, home health , or case management? Do you have an interest...and providers. You will work to identify members' medical, behavioral , and social needs and barriers to care. You… more
- UPMC (Pittsburgh, PA)
- …and modify the care plan with the member, caregivers, PCP, specialists, community resources, behavioral health , and other health plan and system departments ... within recognized standards of nursing practice, coordinating care, and providing health education to identified Health Plan members through face-to-face… more
- Pender Community Hospital District (Pender, NE)
- …position also participates in the development and delivery of services which include Behavioral Health OHP/IOP and traditional outpatient, and on site and ... telehealth behavioral health providers. Assesses and evaluates patients...with physicians on patient's progress and discharge needs. Performs utilization review to ensure admissions for appropriateness of care… more
Recent Jobs
-
Pharmacy Technician - Full Time - Mid Shift - 8hr ICH
- Emanate Health (Covina, CA)