• Utilization Review Specialist

    CaroMont Health (Gastonia, NC)
    …activity and appeal results. Maintains the Status Change Database. Performs retrospective clinical reviews/ appeals as part of denial process. The UR Specialist ... best utilization regarding level of patient care, diagnostic testing, and clinical procedures without jeopardizing patient quality efforts. Identifies and reports… more
    CaroMont Health (10/11/25)
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  • IT Integration, Application Development, and ADS…

    City and County of San Francisco (San Francisco, CA)
    …informed decision-making. + Ability to translate operational business rules and clinical requirements into functional applications and reports to support data-driven ... Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'...regarding this recruitment or application process, please contact the analyst , ###@sfdph.org ###. We may use text messaging to… more
    City and County of San Francisco (10/25/25)
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  • Epic-Certified IT Project Director - SF Dept…

    City and County of San Francisco (San Francisco, CA)
    …informed decision-making. + Ability to translate operational business rules and clinical requirements into functional applications and reports to support data-driven ... Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'...regarding this recruitment or application process, please contact the analyst , ###@sfdph.org ###. We may use text messaging to… more
    City and County of San Francisco (10/25/25)
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  • Social Worker Counselor IV - Behavioral Health…

    State of Colorado (Denver, CO)
    …interventions. About the Position: This position exists to provide behavioral health clinical services to committed and detained youth in the facility that ... with DORA requirements and mental health training, services include clinical assessment, service planning, individual, group counseling, record keeping and… more
    State of Colorado (10/23/25)
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  • Behavioral Health Specialist, Social Work…

    State of Colorado (Brighton, CO)
    …in the Division of Youth Services. Services to be provided include: clinical assessment (recognizing signs and symptoms of specific DSM-5 diagnosis, identifying ... histories, cognitive limitations, and specific services for sexually abusive or violent youth. Clinical services are relevant to the needs of the youth and the… more
    State of Colorado (10/23/25)
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  • Inpatient Authorization Review Services Specialist

    HCA Healthcare (Aventura, FL)
    Analyst will escalate medical review request and/or denial activities to the IPAT Clinical Analyst . **What you will do in this role:** + Work prebill ... denied by the payor that do not require a clinical review. Communicate with third party payors to resolve...the facilities, physicians' offices and/or insurance companies to resolve denials/ appeals + Adhere to time and attendance policies +… more
    HCA Healthcare (10/30/25)
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  • Forensic Navigator - Health Professional III

    State of Colorado (CO)
    …with information related to transition plans, status updates, and changes to clinical status and location. + Works closely with prosecuting and defense attorneys, ... communicating information related to transition plans, status updates, and changes to clinical status and location. + It requires frequent visits and coordination… more
    State of Colorado (10/25/25)
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  • Protective Services Worker - Public Conservator…

    City and County of San Francisco (San Francisco, CA)
    …of Aging and Adult Services provide a broad range of clinical /advocacy services to temporary/permanent conservatees and collateral contact with a multidisciplinary ... Master's Degrees in counseling include Marriage and Family Therapy, Clinical Counseling, Mental Health Counseling, Addiction Counseling and Counseling Psychology… more
    City and County of San Francisco (10/03/25)
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  • Behavioral Health Specialist, Social…

    State of Colorado (Grand Junction, CO)
    …Description of Job Summary of Work Unit: This work unit exists to provide clinical mental health services to committed treatment level youth and their families, in a ... programs. This position takes a lead role on the clinical team in the unit, assists in conducting in...minimum requirements. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of… more
    State of Colorado (10/23/25)
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  • Senior Behavioral Health Clinician - Citywide

    City and County of San Francisco (San Francisco, CA)
    …prepares written care summaries for the purpose of coordinating care; + Performs clinical evaluations in the more difficult individual cases by participating in the ... California Board of Behavioral Sciences (BBS) for + Licensed Clinical Social Worker (LCSW) OR + Licensed Marriage and...recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will… more
    City and County of San Francisco (10/03/25)
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