- HCA Healthcare (Salem, VA)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...as orthopedics and spine care, services for mental and behavioral health and cancer care. At LewisGale… more
- HCA Healthcare (Salem, VA)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...as orthopedics and spine care, services for mental and behavioral health and cancer care. At LewisGale… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and substance use disorders. We are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main campus, and our ... a state-of-the-art psychiatric urgent care center and a soon-to-be-built pediatric behavioral health center, outpatient, inpatient, partial hospitalization (day… more
- Magellan Health Services (Albuquerque, NM)
- … community resources and providers. Thorough knowledge of healthcare services in physical health , behavioral health or other medical specialty area based ... Work Experience - Preferred Education - Required Associate - Nursing, Master's - Behavioral Health Education - Preferred Bachelor's - Nursing License and… more
- State of Colorado (Pueblo, CO)
- …mental health services, and a community partner. CMHHIP is a 24 hour behavioral health acute care facility that is intended to provide a safe, secure, ... follow up for Colorado Mental Health Institute at Pueblo (CMHHIP), Behavioral Health Administration (BHA), and Colorado Department of Human Services (CDHS).… more
- BrightSpring Health Services (Elk River, MN)
- …organizing admissions and discharges + Conducting Assessments (Diagnostic, Level of Care Utilization System, Mental Health Review , Suicidal, and evaluation ... brain and spinal cord injuries to autism therapy and behavioral health , clinicians and therapists build a...and discharges as needed + Medication Administration + Recognizes utilization goals + Flexible and effectively utilizes time +… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors ... status of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of… more
- UPMC (Delmont, PA)
- …that include the medical, behavioral , pharmacy, and social needs of the member. Review UPMC Health Plan data and documentation in the member electronic ... and modify the care plan with member, caregivers, PCP, specialists, community resources, behavioral health contractor, and other health plan and system… more
- St. Luke's University Health Network (Allentown, PA)
- …pay for health care. The Music Therapist serves as a licensed behavioral health professional within the interdisciplinary treatment team of the Acute Partial ... as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless… more
- Highmark Health (Buffalo, NY)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more