- Immigration and Customs Enforcement (Jena, LA)
- … health provider peer reviews to include completion and dissemination of peer review reports to IHSC behavioral health unit administration for program ... Summary The Supervisory Behavioral Health Provider oversees clinical performance,...identified as having a serious mental illness using Mental Health Review form (IHSC-883). Works in conjunction… more
- UnityPoint Health (Cedar Rapids, IA)
- …planning, implementation and evaluation of patient care in the outpatient setting for behavioral health home care. Responsible for case coordination of patients ... and insurance precertification/ utilization review . Patients served include adult and...patients with insurance carriers. + Provides educational opportunities for behavioral health home care patients. + Assists… more
- South Middlesex Opportunity Council (Framingham, MA)
- …individuals, children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. ... Summary: SMOC Behavioral Healthcare is a division of SMOC that...billing 3rd party insurance, work with Department of Public Health contracts. Why Work for SMOC? + Paid Time… more
- Immigration and Customs Enforcement (Washington, DC)
- …Perform other duties and responsibilities as assigned. 16. Utilization review /management for inpatient behavioral health hospitalization for IHSC. ... Summary The Behavioral Health Case Manager is a...review and approval. Investigate complaints related to detainee behavioral health care and provides reports as… more
- Elevance Health (Indianapolis, IN)
- ** Behavioral Health Care Manager I** _*Ideal candidate must reside and be licensed in_ **_Indiana._** **Location:** Virtual: This role enables associate to work ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review .… more
- CenterWell (San Juan, PR)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN...medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part… more
- CenterWell (Austin, TX)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Healthcare isn't just about health ...medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part… more
- Healthfirst (NY)
- …other Operations leaders including but not limited to Care Management, Clinical Eligibility, Behavioral Health , and Appeals and Grievances teams to align ... set forth by CMS, New York State Department of Health (DOH), and other oversight entities** + **Develop and...improve department performance** + **Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for… more
- Gateway-Longview (Buffalo, NY)
- …+ In collaboration with the Asst. Directors, monitor overall staff productivity and utilization of the Behavioral Health Services department and respective ... Job Title: Clinical Supervisor - Behavioral Health Clinic Department: Behavioral...consistent basis and provide feedback to assure productivity and utilization is met + In collaboration with the Assistant… more
- City and County of San Francisco (San Francisco, CA)
- …positions can review your application Under direction, the 2932 Senior Behavioral Health Clinician performs essential duties that include, but are not ... and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties as...techniques. + Knowledge of clinical methods refers to the utilization of the history, culture, socioeconomic background, and environment… more