- Fairview Health Services (Edina, MN)
- …for services provided + Completes the requirements of various payers and utilization management reviewers to obtain authorization for treatment. Demonstrates the ... as an interdisciplinary team member. Responsible, as assigned, for the management of caseload. **Job Expectations:** Works collaboratively with the physician and… more
- HCA Healthcare (Kansas City, MO)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... IQ criteria. + Adheres to HCA standards regarding observation management . In addition, the RN SM Lead will be...supporting a balance of optimal care and appropriate resource utilization . + Responsible for ensuring other RN CM in… more
- WellLife Network (Bronx, NY)
- …contracts, quarterly summaries, collateral contacts. 30. Meet routinely with residents and management team to review goal progress, identify participant needs ... and update program plan and / or utilization of review plans. 31. Represent the...with clients. + Knowledge of addiction treatment models and behavioral health interventions. + Crisis intervention skills to handle… more
- University of Utah (Salt Lake City, UT)
- …Exam review , Telehealth Visits, Supporting Care Coordination, and Medication Management . The ideal candidate will also have a working knowledge of ... Recruitment** External Posting **Pay Rate Range** $200,000-230,000 **Close Date** 02/04/2026 **Priority Review Date (Note - Posting may close at any time)** **Job… more
- City and County of San Francisco (San Francisco, CA)
- …of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the ... disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and...and NHA in matters related to nursing service 5. Review daily work assignments to ensure they meet regulatory… more
- HCA Healthcare (Nashville, TN)
- …testing plans and events, go live activities, support, and optimization. + Management of resource utilization and project assignments, prioritization of task ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- State of Massachusetts (Boston, MA)
- …statewideto conduct onsite compliance inspections at the ALRs, which include the review of employee and resident files and ALR operating policies and procedures ... responsibilities of the position include issuing a formal notice of compliance review findings; reviewing corrective action plans submitted by ALRs; reviewing and… more
- HCA Healthcare (Trinity, FL)
- …Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- HCA Healthcare (Tallahassee, FL)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... through clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. Job Duties and Responsibilities: +… 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 ... are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main...for dementia, depression and anxiety, as well as medication management . Families often suffer along with their older relatives,… more