- Excellus BlueCross BlueShield (Rochester, NY)
- …Specialist provides administrative support for any of the programs of Utilization Management, Behavioral Health, Quality Management, or Member Care ... regulatory mandates related to the Health Plan Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. + Navigates and utilizes… more
- Cleveland Clinic (Weston, FL)
- …of Quality and Safety. As a Safety, Quality, and Patient Experience (SQPE) Specialist I, you will direct safety, quality and patient experience activities within ... to ensure compliance and strong performance across safety, quality, utilization and patient experience metrics and support implementation of requirements… more
- St. Luke's University Health Network (Sellersville, PA)
- …mental health/crisis intervention experience required. Previous experience with case management/ utilization review and managed care models preferred. Please ... other hospital services or external customers, in accessing the network Behavioral Health Services. JOB DUTIES AND RESPONSIBILITIES: + Conducts intake assessments… more
- KBR (Lakewood, WA)
- Title: Special Operations Cognitive Performance Specialist (2/75 RR, JBLM, WA) THIS POSITION OFFERS RELOCATION. Belong. Connect. Grow. with KBR! KBR maintains a ... spanning kinesiology, psychology, and motor learning and control. The Cognitive Performance Specialist shall train SOF personnel, with the priority on SOF Operators… more
- LA Care Health Plan (Los Angeles, CA)
- …by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health ... Care Management Specialist II, D-SNP Team (12 month Assignment) Job...the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and… more
- Baylor Scott & White Health (Dallas, TX)
- …needs. Calculates accurate patient financial responsibility. Communicates timely with Utilization Review , and collaborates effectively with physician and ... **JOB SUMMARY** The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance… more
- KBR (San Diego, CA)
- Title: Special Operations Cognitive Performance Specialist (Coronado, CA) THIS POSITION OFFERS RELOCATION. Belong. Connect. Grow. with KBR! KBR is a company of ... in individual and group settings, in specific cognitive, mental, behavioral , psychosocial, perceptual, learning, adaptive thinking, human engagements, and emotional… more
- Cleveland Clinic (Stuart, FL)
- …international leader in patient safety. As a Safety Quality and Patient Experience Specialist I, you will direct our safety, quality and patient experience work. ... objectives and key results. + Model Cleveland Clinic Core Values and behavioral standards. + Coordinate with cross functional stakeholders to ensure compliance with… more
- Beth Israel Lahey Health (Charlestown, MA)
- …include, utilization of our ERP system to: process/enter invoices/credits, review and resolve invoice coding and statement issues, monitor and respond to ... emails received in the general departmental mailbox (apx 500-700/daily), review /obtain approvals and release vouchers on payment hold, interact with Purchasing and… more
- US Marine Corps (Oceanside, CA)
- …organization functioning smoothly and effectively. Responsibilities Serves as the Clinical Specialist within the Behavioral Health program, Community Counseling ... policies, conducts screenings, clinical counseling services and case management services for Behavioral Health Branch programs. Serves as the first point of contact… more