- Hartford HealthCare (Middletown, CT)
- …with all admission related staff ensuring expediency of client admission including Utilization Review , Nursing, Admission Specialists and staff in related ... balance. Every moment matters. And this is *your moment*. **Job:** ** Behavioral Health / Psychiatry* **Organization:** **Rushford* **Title:** *Medical Navigator… more
- Veterans Affairs, Veterans Health Administration (Loveland, CO)
- …office after complete review of the EDRP application. Responsibilities Cheyenne VA Health Care System: Start, continue, or finish your career here | Cheyenne VA ... Health Care System (youtube.com) VA Careers - Social Work:...Supportive Counseling: Provide supportive counseling for the development and utilization of community resources. Direct Care Provision: Serve as… more
- Atlantic Health System (NJ)
- …chart documentation. 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned. Required:1. Master's ... experience. Preferred:1. LCSW, LSW or LPC license. At Atlantic Health System, our promise to our communities is; Anyone...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
- Highmark Health (Pittsburgh, PA)
- …in planning/marketing strategy to ensure referral sources. + Participates in peer utilization and/or review and assists in coordination of related quality ... **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: Provides...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Healthfirst (NY)
- …out of home placement, and//or community-based services and may be called upon to do Utilization Review for those services + Develops care plans that align with ... advocating, informing, and educating beneficiaries on services, self-management techniques, and health benefits related to the continuum of care + Reviews discharge… more
- Ventura County (Ventura, CA)
- …24 primary care clinics, 11 specialty care clinics, Ambulatory Care, the Public Health Department, the Behavioral Health Department, and the Ventura ... and communicates matters of VCHCP medical policy with the Health Care Agency Director and Insurance Administrator, Utilization...care + Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Coordination Specialist provides administrative support for any of the programs of Utilization Management, Behavioral Health , Quality Management, or Member ... well as functions related to legislative and federal regulatory mandates related to the Health Plan Essential Accountabilities: Level I + Review / prep clinical… more
- CVS Health (Baton Rouge, LA)
- …acknowledges physicians for their clinical excellence and effective utilization of health care resources. Reporting to the Executive Behavioral Health ... members across Aetna. **Expectations and Responsibilities:** * Serve as the principal utilization management reviewer for cases related to Applied Behavior… more
- Molina Healthcare (Louisville, KY)
- …speed required. JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health . Responsible for ... KY or have a compact RN license. The Care Review Clinician Inpatient Review BH will provide...for outpatient and inpatient services for the OH Medicaid behavioral health population. Strong post-acute level of… more
- CDPHP (Latham, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more