- Centene Corporation (Sacramento, CA)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... of physician education with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends in utilization … more
- BriteLife Recovery (Hanover, PA)
- "PRN" BEHAVIORAL HEALTH TECHNICIAN/DRIVER Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team ... best, most talented and caring, authentic individuals to create a world-class mission-centered behavioral health organization, focused on doing it the right way… more
- BriteLife Recovery (Hanover, PA)
- BEHAVIORAL HEALTH TECHNICIAN/DRIVER Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team ... best, most talented and caring, authentic individuals to create a world-class mission-centered behavioral health organization, focused on doing it the right way… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Behavioral Health Case Manager - Medicare Advantage Location: Remote Career ... Required Skills and Experience * Registered Nurse with Psychiatric experience or Behavioral Health Professional that is Clinician licensed for independent… more
- Highmark Health (Pittsburgh, PA)
- …in planning/marketing strategy to ensure referral sources. + Participates in peer utilization and/or review and assists in coordination of related quality ... **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: Provides...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- 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