- 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
- Elevance Health (Norfolk, VA)
- …terminology training and experience in medical or insurance field preferred. + Behavioral health medical terminology strongly preferred. + For URAC accredited ... ** Utilization Management Representative I** **Location** : This role...and post service requests. + Refers cases requiring clinical review to a Nurse reviewer . + Responsible… 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
- BJC HealthCare (St. Louis, MO)
- …There is no communication with patients. This position supports all units/staff (commercial, behavioral health , inpatient, etc.) + PRN (at minimum, two 8hr ... of RN experience performing care for hospitalized patients + 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity +… 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
- PeaceHealth (Eugene, OR)
- **Description** PeaceHealth is seeking a RN Admissions Coordinator/ Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable position. The ... collective bargaining agreement, seniority, etc. Responsible for identifying potential behavioral health inpatient unit candidates, pre-screening referrals, and… more
- Saint Francis Health System (Tulsa, OK)
- …matching the level of care utilization . Assures compliance with Managed Care Behavioral Health standards in the area of UM procedures and documentation to ... participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of… 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