- Actalent (Santa Barbara, CA)
- Remote Utilization Management RN Leading healthcare facility that aims to improve the health and wellness of those in need is now looking for a REMOTE Health ... heling hand, alpha resource center, parents helping parents, etc. knowledge of Utilization Management process/ turnaround times. + Familiar with mandated… more
- Molina Healthcare (Reno, NV)
- …and/or procedures. * Works collaboratively with the utilization and care management departments to provide ABA and behavioral health therapy (BHT) services ... Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Utilization management experience. * Health plan/managed care… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …The Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality case management ... Houston Behavioral Healthcare Hospital (HBHH) is unique in so...ready to provide exceptional service. The team at Houston Behavioral Healthcare Hospital strives to be the leaders in… more
- Saint Francis Health System (Tulsa, OK)
- …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... support to the hospital and treatment team throughout the review of patients, their placement in various levels of...and benefits of patients, matching the level of care utilization . Assures compliance with Managed Care Behavioral … more
- Elevance Health (Wallingford, CT)
- …Alternate locations may be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May ... ** Utilization Management Medical Director- NC Medicaid**...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Helio Health Inc. (Syracuse, NY)
- …degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed care ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
- Prime Healthcare (Anaheim, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/218947/case-manager utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more… more
- Immigration and Customs Enforcement (Port Isabel, TX)
- …management , etc.) and work collaboratively to address the same. Participates in review of behavioral health processes and procedures within the facility; ... health-related specialized needs related to the care of detained non-citizens. Behavioral Health Case Management Facilitates referral to psychiatric… more
- Commonwealth Care Alliance (Springfield, MA)
- …significant medical, behavioral , and social complexities that require intensive care management and care delivery. Within the CIC Program, The Senior Clinician, ... clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for behavioral health...in regular Interprofessional Care Team meetings and Team Case Review . + Participates in Risk Management meetings… more
- Ventura County (Ventura, CA)
- …expand, and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in quality management activities such as ... Field Based Psychiatric Technician - Behavioral Health (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4901938) Apply … more
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