- HCA Healthcare (Sun City Center, FL)
- …Healthcare Quality) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ or_ CHCQM _will be ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...a healthcare environment + Previous experience in accreditation, quality, utilization management , or risk management … more
- Johns Hopkins University (Baltimore, MD)
- …skills, and experience supporting clinical service delivery models, data management , and reporting. The service model includes Initial Consultations, goal-oriented ... leadership team call schedule, which provides consultative support to the JHU Behavioral Health Crisis Support Team. **Specific Duties and Responsibilities** + This… more
- The County of Los Angeles (Los Angeles, CA)
- …methods include group, family, individual and conjoint therapy, clinical case management , and crisis intervention. Positions allocable to this class also provide ... problem, which may include individual, group, family or marital counseling, case management , and/or referral to another treatment source such as a psychiatrist, a… 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
- 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
- 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
- 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
- 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