- CirrusMD (Denver, CO)
- …CirrusMD's integrated care spans multiple specialties-from acute and chronic care to behavioral health. Our platform serves 10 million users across all 50 states ... SMS, push, and in-app lifecycle communications. Our Member Engagement team drives utilization and engagement across user populations, and this role will help build… 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
- Sevita (Lowell, MA)
- …+ May develop and implement crisis intervention emergency procedures, oversee Utilization Review , Quality Assurance, investigations, and internal evaluations. + ... **Mentor South Bay** , provides Early Intervention, Applied Behavioral Analysis (ABA), Behavioral Health and Mental Health Outpatient services across… more
- HCA Healthcare (Largo, FL)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...or experience in the area of clinical practice and/or management + Currently licensed as one of the following… more
- HCA Healthcare (Kansas City, MO)
- …patient needs. **What you will do in this role:** + Responsible for utilization review , discharge planning and care coordination with the patient, patient's ... 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
- Sevita (Mendota Heights, MN)
- …supervision to Program Supervisors + Oversee all day-to-day Northway Academy operations + Review utilization on a daily basis + Participate in initial ... **,** **a part of the Sevita family** , provides center-based Applied Behavioral Analysis (ABA) services to individuals with Autism Spectrum Disorder and related… more
- Highmark Health (Boise, ID)
- …and mentorship in areas of expertise and architecture to peers, developers, management , and business users. **Key Responsibilities:** + Lead the design and ... effective application of appropriate design standards, methods, and tools. + Review application designs to ensure optimal technology selection, efficient resource … more
- US Tech Solutions (Topeka, KS)
- …for Healthcare. Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management ... tools and resources. **Responsibilities:** - Through the use of care management tools and information/data review , conducts comprehensive evaluation of referred… more
- WellSpan Health (Selinsgrove, PA)
- …in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education ... and patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation… more
- Intermountain Health (Ogden, UT)
- …experience and all aspects of the Intermountain Operating Model. Participates in utilization review audits. + **Program Development and Marketing** : Contributes ... procedures, and related activities for direct patient care. Primary Children's Behavioral Health is excited to add a Certified Occupational Therapy Assistant… more