- Highmark Health (Harrisburg, PA)
- …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most… more
- Intermountain Health (Ogden, UT)
- …care teams and stakeholders to deliver quality, patient centered care. Primary Children's Behavioral Health Summit Day Programs and McKay Dee Pediatric ... Behavioral Health Inpatient is excited to add an Occupational Therapist...all aspects of the Intermountain Operating Model. Participates in utilization review audits. + **Meetings** : Participates… 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
- HCA Healthcare (Orange Park, 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 ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...growth, we encourage you to apply for our Mental Health Professional III Licensed opening. We promptly review… more
- HCA Healthcare (Asheville, NC)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...growth, we encourage you to apply for our Mental Health Professional III opening. We review all… more
- HCA Healthcare (Salt Lake City, UT)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...growth, we encourage you to apply for our Mental Health Professional PRN opening. We review all… more
- HCA Healthcare (Orange Park, FL)
- …interdisciplinary team members, payer representatives, and other parties as appropriate regarding behavioral services . Performs utilization review as ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...growth, we encourage you to apply for our Mental Health Professional Licensed LCSW opening. We promptly review… 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
- HCA Healthcare (Austin, TX)
- …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 ... Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...of quality and cost improvement and develops systems to review utilization of resources and objectively measure… more
- HCA Healthcare (Kissimmee, 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 ... the patient flow program effectiveness as it relates to utilization review , resource management, and discharge planning...Care, Neonatal Intensive Care Unit Level II, Women's Services, Behavioral Health , Orthopedics & Spine, and a… more