- Saint Francis Health System (Muskogee, OK)
- …login and apply.** Full Time Nights **Registered Nurse Fulltime Senior Behavioral ** Adult patients with dementia, depression, Alzheimer's, and personality disorders. ... toward goals. Facilitates patient discharge through timely, appropriate referrals and utilization of patient education resources, suitable to patient age and… more
- Healthfirst (NY)
- …out of home placement, and/or community-based services and may be called upon to do Utilization Review for those services + Develops care plans that align with ... advocating, informing, and educating beneficiaries on services, self-management techniques, and health benefits related to the continuum of care + Reviews discharge… more
- Saint Francis Health System (Vinita, OK)
- …toward goals. Facilitates patient discharge through timely, appropriate referrals and utilization of patient education resources, suitable to patient age and ... from many diversified alternatives that are subject to general review in final stages only. Working Relationship: Coordinates activities...that the employer believes could affect the safety and health of the employee performing the task or others.… more
- Molina Healthcare (Albuquerque, NM)
- …degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 ... **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN (preferred) or LPN...good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians… more
- Sharp HealthCare (San Diego, CA)
- …Sharp Health Plan's (SHP) physicians (Medical Directors (both medical and behavioral health ) and the Physician Reviewers) to coordinate the necessary ... co-management of our members related to their medical, behavioral health and pharmacy needs. This position also provides the physician cohesive collaboration… more
- CVS Health (Springfield, IL)
- …Health Service Officer, and other executive team members in managing all Behavioral Health activities by driving clinical excellence, achieving measurable ... as well as conceptualization, design, and implementation of strategic priorities for Behavioral Health in the IL HealthChoice Medicaid program. The ABHIL… more
- Ventura County (Ventura, CA)
- …24 primary care clinics, 11 specialty care clinics, Ambulatory Care, the Public Health Department, the Behavioral Health Department, and the Ventura ... and communicates matters of VCHCP medical policy with the Health Care Agency Director and Insurance Administrator, Utilization...care + Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review … more
- Molina Healthcare (Sparks, NV)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Molina Healthcare (OH)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- UnityPoint Health (Des Moines, IA)
- + Area of Interest: Behavioral Health Services + FTE/Hours per pay period: 1.0 + Department: Care Coordination- Behavioral + Shift: Five 8-hour days from ... Job ID: 168665 Overview As a member of the behavioral health care management team, this position...+ Facilitates and/or participates in interdisciplinary team meetings to review and revise the patient plan of care. .… more