- UnityPoint Health (Cedar Rapids, IA)
- …site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in coordinating ... the department's interdisciplinary effort to assess and promote appropriate utilization of health care resources, provision of...State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional communication… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251119-5613FP-001 Location Middletown, CT Date Opened 12/11/2025 12:00:00 AM Salary ... Campus Hospital (https://portal.ct.gov/dcf/solnit-center/south) - is accepting applications for a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) (REGULATORY) position,… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management -...preferred. At least two (2) years acute hospital or Behavioral Health patient care experience required. One ... level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as...(1) year hospital acute or behavioral health case management experience preferred. Active… more
- Centene Corporation (Harrisburg, PA)
- …degree for behavioral health clinicians required. Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans ... TIME ZONE/CENTRAL TIME ZONE.** **IDEAL APPLICANTS WILL HAVE CHILDREN/ADOLECENT BEHAVIORAL HEALTH EXPERIENCE AND HOLD A PENNSYLVANIA...required. Knowledge of ABA services and BH utilization review process required. Experience working with… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- …growth and development opportunities + A health work/life balance AS A UTILIZATION REVIEW NURSE , YOU WILL : + Communicate with patients regarding ... Utilization Review Nurse (40 Hour) Office/On-site...overall health and wellness of persons with behavioral health needs through an integrated network… more
- BriteLife Recovery (Englewood, NJ)
- …in utilization review , case management, or insurance coordination in a behavioral health or substance use treatment setting. + Knowledge of ASAM criteria ... What you will be doing? The Utilization Review (UR) Specialist is a...and a working knowledge of insurance guidelines specific to behavioral health What tasks are required? +… more
- Centene Corporation (Phoenix, AZ)
- …licensure as outlined by the applicable state (BCBA) required. Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment ... of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder...Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …health and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $35.00-44.19 Per Hour ... of the greater Santa Rosa and Northern California mental health system of care. Conveniently located in the North...RN/LCSW/LMFT/LPCC $54.00-68.18 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as… more
- CVS Health (Baton Rouge, LA)
- …per our company expense reimbursement policy. **Preferred Qualifications** + Behavioral health experience + Managed care/ utilization review experience + ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …for a UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the hospital's ... Who Are We: Westborough Behavioral Healthcare Hospital (WBHH) provides psychiatric stabilization and... utilization review plan to ensure the effective… more