- New York State Civil Service (NY)
- …in experimental psychology, research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance ... With Developmental Disabilities, Office for Title Psychologist 1/2 Occupational Category Health Care, Human/Social Services Salary Grade 21 Bargaining Unit PS&T -… more
- Highmark Health (Little Rock, AR)
- …of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member ... Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a ...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
- The Cigna Group (Bloomfield, CT)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... DESCRIPTION** The Clinical Program Advisor will be responsible for review , consultation, and clinical evaluation of utilization ...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
- WellSpan Health (Lebanon, PA)
- …providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. ... between visits. + Assists in the management of patient utilization of health care system and provides...care through our extensive WellSpan primary, specialty, ambulatory, and behavioral health care locations within the community.… more
- North Shore Community Health (Gloucester, MA)
- …to excellence, NSCH provides: + Comprehensive primary care. + Dental services. + Behavioral health care. + Care management. + Pharmacy services. + Substance ... providers, the PC team RN CM coordinates the overall health care utilization for NSCH's most vulnerable...Bates Elementary School, and the Peabody Learning Academy for behavioral health services. As a community-based safety… more
- Community Based Care of Brevard, Inc. (Brevard, FL)
- …payments and alternative funding sources whenever possible. The position facilitates Team Review Meetings and the utilization review process, reviews ... the county and other locations for client and other meetings. Counseling, Therapy, Behavioral or Mental Health Experience: This position requires a background in… more
- Banner Health (Sun City West, AZ)
- …in cardiac services, women's health and maternity, robotic surgery and orthopedics, behavioral health , and critical care to name just few. In addition, we ... for coverage under the company's auto insurance policy. Employees working at Banner Behavioral Health Hospital must possess an Arizona Fingerprint Clearance Card… more
- Ascension Health (Appleton, WI)
- …areas of responsibility, to include but not limited to; + Quality and Safety + Utilization Review + Peer Review and Credentialing + Growth and Strategic ... conduct. Ensures adherence and completion of medical staff decisions regarding peer review and physician behavioral issues. + Leads the development of… more
- HCA Healthcare (Tallahassee, FL)
- …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 ... and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of...Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain… more
- Veterans Affairs, Veterans Health Administration (Eureka, CA)
- …System is a health care facility, providing acute medical, surgical, behavioral health , physical medicine and rehabilitation, geriatric, and primary care ... VA Clinic. Duties and responsibilities of the LVN/LPN include: Performs retrospective medical review of non-VA health care records to determine medical necessity… more