- Highmark Health (Jefferson Hills, PA)
- …including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This...engages patients/caregivers in their healthcare, and supports effective resource utilization . Serves as key team members in the management… more
- Elevance Health (Greensboro, NC)
- …access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy,_ _Intellectual/Developmental_ _Disabilities (I/DD) ... to the CFSP Care Management model which includes physical health , behavioral health , and social...include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members,… more
- Sea Mar Community Health Centers (Olympia, WA)
- …services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and ... morning huddles to anticipate the patient's clinical, social and behavioral health needs. + Work with the...Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization… more
- Sea Mar Community Health Centers (Everson, WA)
- …services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and ... coordination of care for patients with chronic conditions and behavioral health needs at point of care....Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization… more
- New York State Civil Service (Albany, NY)
- …and Integrated Outpatient Services. In addition, the Unit supports Certified Community Behavioral Health Clinics and other integrated care programming. Under the ... NY HELP Yes Agency Mental Health , Office of Title Mental Health ...in a clinical capacity, as well as experience with utilization management and/or utilization review .… more
- HCA Healthcare (Corpus Christi, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical ... guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …activities, with the processes currently in place for medical, surgical, and behavioral health . This position will interact with members, providers and ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Health Support Coordinator Location: Remote Career Area: Customer Service/Operations About… more
- US Marine Corps (Beaufort, SC)
- …and effectively. Responsibilities Serves as the Clinical Specialist within the Behavioral Health program, Community Counseling Center. Implements policies, ... conducts screenings, clinical counseling services and case management services for Behavioral Health Branch programs. Serves as the first point of contact for … more
- Atlantic Health System (Summit, NJ)
- …training from ABQAURP (The American Board of Quality Assurance and Utilization Review Physicians), AAPL (American Association for Physician Leadership's ... Physician in Management course), or CPUR (Certification Program in Utilization Review ), Institute for Healthcare Improvement courses, or physician advisor… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …serve as the subject matter expert for the discipline. Senior LPMHCs develop behavioral health related training curriculum and often conduct trainings for ... Summary The Local Recovery Coordinator (LRC) is located within the Mental Health Service and is responsible for transforming the Washington DC VA System Mental … more