- University of Southern California (Los Angeles, CA)
- …Degree Nursing + Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the last three years + ... populations. The role integrates the functions of complex case management , utilization management , quality ...the Case Manager overlap into inpatient duties including: Concurrent review of all patients to validate that the appropriate… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors ... status of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of… more
- FLACRA (Penn Yan, NY)
- …progress notes and other documentation required for the client medical record and utilization management within the timelines outlined by FLACRA. + Participates ... + Monitors, support, and mentors clinicians in their practice management to meet expectations for excellent client care. +...in quality initiatives and utilization review activities as requested. + Strives… more
- BrightSpring Health Services (Elk River, MN)
- …organizing admissions and discharges + Conducting Assessments (Diagnostic, Level of Care Utilization System, Mental Health Review , Suicidal, and evaluation level ... brain and spinal cord injuries to autism therapy and behavioral health, clinicians and therapists build a program around...+ Individual and group counseling services + Possible Case Management + On-Call Duties + Weekly supervision with direct… more
- Select Medical (Madison, IN)
- …participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster preparedness, etc.) + Utilize time ... to professional sports teams, colleges, universities and high schools.\#ACN **Responsibilities** + Review Policies & Procedures manual on a yearly basis and adheres… more
- Veterans Affairs, Veterans Health Administration (Prescott, AZ)
- …safety data, sentinel event data, appropriateness of clinical practice patterns, and utilization review as reported by committees tasked with these functions. ... as Chief of Psychiatry within the Mental Health and Behavioral Sciences Service Line. The incumbent will lead a...Pulling and reviewing reports related to Psychiatry provider clinic utilization as mapped to the assigned MCA DSS labor… more
- CenterWell (Columbia, SC)
- …providing medical guidance and expertise. . Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the ... care being provided meets appropriate standards and to ensure cost-effective utilization practices. . Oversee the development, revision, and implementation of… more
- Whitney Young Health Center (Albany, NY)
- …to continually assess and improve the quality of patient services-conducts monthly utilization review . + Participates in the recruitment of clinical staff. ... serves as a member of the Integrated Outpatient Substance Use Program(s) management team and is responsible for assisting the director with the oversight,… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …staff assignments and promoting staff development. + Responsible for the utilization and continued review of patient care protocols, standards ... substance use disorders. We are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main campus, and our network… more
- State of Connecticut, Department of Administrative Services (Waterbury, CT)
- …role, you will oversee both fiscal and physical operations, ensuring the effective management of resources that support behavioral health services across the ... promote the overall health and wellness of persons with behavioral health needs through an integrated network of holistic,...training are most aligned with the role. To prepare, review this helpful Interview Preparation Guide to make the… more