- Logan Health (Cut Bank, MT)
- …practice. + As applicable to assigned area(s): performs the duties of Utilization Review , precertification, concurrent reviews, and retro reviews; completes data ... Step Into a Position With Purpose - Behavioral Health Care Where It's Needed Most! ....in assessment, crisis assessment, brief therapies, and clinical case management preferred. + Ability to analyze, intervene and evaluate… more
- Sharp HealthCare (La Mesa, CA)
- …response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan ... California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences; AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare)… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Accountabilities: Level I + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. ... Performs medical review activities pertaining to utilization review...expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory,… more
- The Hartford (Hartford, CT)
- …+ Case management and discharge planning experience preferred + Managed care/ utilization review experience preferred + Crisis intervention skills preferred + ... Behavioral Health Case Mgr - CT08IE We're determined...appropriate. Advises on highly complex claims at multidisciplinary clinical review roundtables to ensure optimal outcomes. Determines when claims… more
- Elevance Health (Los Angeles, CA)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... ** Behavioral Health - Care Manager II** **Location:** _Virtual:_...outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses… more
- City and County of San Francisco (San Francisco, CA)
- …positions can review your application Under general supervision, the 2930 Behavioral Health Clinician performs essential duties that include, but are not limited ... psychotherapy, crisis intervention, outreach services, culturally competent interventions, case management and rehabilitation to clients enrolled in behavioral … more
- UnityPoint Health (Cedar Rapids, IA)
- …home care. Responsible for case coordination of patients and insurance precertification/ utilization review . Patients served include adult and geriatric. St. ... coverage. + Coordinates cases with community agencies, referral sources. + Manages utilization review for own patients with insurance carriers. + Provides… more
- OLV Human Services (Lackawanna, NY)
- …navigating electronic health record (EHR) for documentation of services rendered. + Review utilization and service provision with supervisor + Coordinate and ... spouse completes too! Salary range: $18.22 - $26.00 per hour. The Youth Behavioral Support Caseworker provides direct services to children and families in their home… more
- Garnet Health (Harris, NY)
- …Case Manager for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. Join the Garnet Health team and ... your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. Responsibilities The… more
- Banner Health (Phoenix, AZ)
- …quality management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission ... the future of medicine today. Banner - University Medical Center Phoenix provides behavioral and mental health treatment programs for adults and teens in inpatient… more