- Devereux Advanced Behavioral Health (Braddock, PA)
- …absence, including FMLA and other leave of absence types. This role will review benefits, competitor benefits, and benefit utilization and make recommendations ... AND MORE! + Salary up to $68,921 per year Devereux Advanced Behavioral Health/TCV Community Services provides programs and services for adults, children and… more
- MyFlorida (St. Petersburg, FL)
- …process billing claims. + Enters Services and tracking process for Directions Behavioral Health program, review clinical notes match claims and authorization. ... referrals in accordance to the established Specialty Care medical grid(Radiology, Behavioral and other specialties) + Verifies County eligibility. + Generates… more
- City of Durham (Durham, NC)
- …had to maintain HIPAA/Confidentiality standards? + Yes + No 08 Do you have experience with utilization review , and data management? + Yes + No 09 Do you have ... Teams)-to meet the needs of people in crisis with compassionate care and behavioral health expertise. Interested applicants can visit our website and dashboard to… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …delivery of cost-effective health care and identify the appropriate utilization of resources. Coaches patients and parents/caregivers in developmentally appropriate ... Aqui Para Ti (APT) multidisciplinary team clinic huddle; monitor and review clients' needs, risks, and progress and develop/revise preliminary action plans… more
- State of Connecticut, Department of Administrative Services (Danbury, CT)
- …+ Prepares and/or reviews reports, medical records and correspondence; + Performs utilization review and management functions; + Attends court hearings as ... mission is to promote the overall health and wellness of persons with behavioral health needs through an integrated network of holistic, comprehensive, effective and… more
- CenterWell (Columbia, SC)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and initiatives to… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- …+ Prepares and/or reviews reports, medical records and correspondence; + Performs utilization review and management functions; + Attends court hearings as ... state + Contribute to the coordination of onsite medical, mental/ behavioral health and dental services + Get clinical exposure...training are most aligned with the role. To prepare, review this helpful Interview Preparation Guide to make the… more
- CenterWell (Columbia, SC)
- …medical guidance and expertise. . Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and ... . Oversee daily operations of physician services. . Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …from an accredited college or university and must be a certified therapeutic recreation specialist (CTRS). The degree must be approved by the NCTRC. If hired under ... plan of care; develop and select interventions to achieve patient goals; review patient progress; adapt or adjust the treatment plan and intervention strategies;… more
- New York State Civil Service (Brooktondale, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... health and substance use screens, youth and collateral interviews, and record review to develop a psychosocial assessment and subsequent mental health treatment… more