- MD Anderson Cancer Center (Houston, TX)
- …at all times and follows institutional and local hospital policies. Prepare, review and timely submit proper coding and charge capture documents through the ... utilization of electronic billing applications as available and supported...of Texas Board of Regents, including initial appointment policies, review procedures, annual physical examination requirements, and institutional assignments.… more
- New York State Civil Service (NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... the supervision of a licensed psychologist or other appropriate licensed clinician ; * Develop and write behavioral/treatment plans and complete functional… more
- Common Ground (Bingham Farms, MI)
- …a unique combination of customer service, crisis intervention, resource guidance, utilization review , mobile crisis oversite and dispatch, Behavioral Health ... team to their location, referral and connection to a clinician to explore mental health concerns and/or connection to...Common Ground. To learn more about this position, please review the job description: Common Ground Crisis Hub -… more
- Hartford HealthCare (Torrington, CT)
- …point based level systems. Record episodes of target behaviors during group and work with clinician to review points and level system at the end of group ... and for some programs during van rides. Bridges technicians also review home goal sheets/communication and oversee the internal level/reward behavioral milieu… more
- Riverside Community Care (Lynnfield, MA)
- …clinical and administrative oversight for assigned clinicians, including case consultation/ review , ongoing clinical supervision, utilization review /clinical ... at the independent level of licensure for the discipline, specific to the clinician 's training and expertise. + Minimum of one year supervisory or managerial… more
- The Hartford (Hartford, CT)
- …+ Case management and discharge planning experience preferred + Managed care/ utilization review experience preferred + Crisis intervention skills preferred ... appropriate. Advises on highly complex claims at multidisciplinary clinical review roundtables to ensure optimal outcomes. Determines when claims...+ Licensed independent Behavioral Health clinician in state of service with unrestricted license. +… more
- Alameda Health System (San Leandro, CA)
- …OPPE, FPPE, and annual staff evaluations. 3. Participates in Medical Staff peer review processes in alignment with Just Culture principles in accordance with Medical ... of care provided in the department and oversight of department's Quality Review Committee. 16. Participates in establishing policies and procedures for assuring that… more
- Elevance Health (Tampa, FL)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education ... (Saturday and Sunday). The **Medical Management Nurse** will be responsible for review of the most complex or challenging cases that require nursing judgment,… more
- Project Renewal, Inc. (New York, NY)
- …in the development and implementation of quality assurance management and utilization review + Participates in interdisciplinary meetings with shelter ... with New York State regulations and the scope of training of the clinician . + Responsible for consulting with the appropriate medical specialists, when deemed… more
- CenterWell (Salt Lake City, UT)
- …practices. + Improving performance of practices. + Evaluate practice workflow + Review and analyze data and make recommendations + Responsible for performance ... Proven planning, preparation and presenting skills, with established knowledge of clinician reimbursement and bonus methodologies + Demonstrated ability to manage… more