- Sharp HealthCare (San Diego, CA)
- …response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan ... BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences **Hours** **:** **Shift Start Time:** Variable **Shift End Time:** Variable… more
- Albany Medical Center (Albany, NY)
- …short- and long-term goals and objectives. As a member of the nursing executive management team, the AVP participates in the efficient and effective management ... in nursing, involving perioperative and/or procedural services + Demonstrated progressive management experience, minimum 3-5 years Skills, Knowledge & Abilities: +… more
- Highmark Health (Buffalo, NY)
- …**Job Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent ... the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review ....job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Columbia, SC)
- …Description :** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent ... a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review ,...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- HCA Healthcare (Dallas, TX)
- …federal regulation pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement. + Conducts ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...approval of patients in the Rehab unit. Manages the Utilization Review process and maintaining continued stay… more
- CareFirst (Baltimore, MD)
- …working in Care Management , Home Health, Discharge Coordination and/or Utilization Review . **Preferred Qualifications** : + Knowledge and experience with ... (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely...of care. Utilizing experience and skills in both case management and utilization management , the… more
- UnityPoint Health (Cedar Rapids, IA)
- …regarding managed care implications - precertifications and utilization review procedures. + Provides consultation regarding Behavioral Health issues ... + Area of Interest: Behavioral Health Services + FTE/Hours per pay period:...the treatment plan. + Will share in the behavior management of all patients, utilizing a varied repertoire of… more
- Mental Health Association of SCK (Wichita, KS)
- …in and facilitates individual and group classes which promote physical wellness, behavioral health management strategies, and topics related to social ... One Care Kansas (OCK) Team, Adult and Children's Case Management , and Counseling Center staff to recruit, enroll and...Care Manager is responsible for coordination of physical and behavioral health services and supports, with emphasis on linkages… more
- CareFirst (Baltimore, MD)
- …working in Care Management , Home Health, Discharge Coordination and/or Utilization Review . **Preferred Qualifications:** + Knowledge and experience with MCG ... (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely...of care. Utilizing experience and skills in both care management and utilization management , the… more
- CareFirst (Baltimore, MD)
- …related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct patient care ... supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely… more