- CVS Health (Oklahoma City, OK)
- …Clinical Reviewer (LCSW, LCPC, RN)** Licensed clinical professional with a passion for behavioral health and a strong background in psychiatric care. As a ... LCPC, or RN. + Experience in a psychiatric or behavioral health setting required. + Strong knowledge...utilization review experience preferred + Experience in a behavioral health inpatient setting + Ability to… more
- Health Care Service Corporation (Chicago, IL)
- …Autism Spectrum Diagnoses (ASD). **JOB REQUIREMENTS:** **Registered Nurse (RN) or Masters-level Behavioral Health Professional (LPC, LMFT, LCSW, LCPC, BCBA, ... This position is responsible for ensuring accurate and timely clinical review of behavioral health cases (Applied Behavior Analysis (ABA)) for medical necessity… more
- Centene Corporation (Austin, TX)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- AmeriHealth Caritas (LA)
- **Role Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical ... request clarification. The BH UM Reviewer will use his/her professional judgment to evaluate the request to ensure that...in Social Work + Minimum of 2 years of behavioral health experience and substance use disorder… more
- PeaceHealth (Bellingham, WA)
- **Description** PeaceHealth is seeking a RN Admissions/ Utilization Behavioral Health - Care Management for a Full Time, 1.00 FTE, Day position. The salary ... monitor for change of status and notify payer. + Provide admission support to Behavioral Health unit/ED/SECU as needed. Assist MSW with initial assessments, as… more
- MVP Health Care (Schenectady, NY)
- …, and an **Inclusive Workplace** . The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental health and ... continuous improvement. To achieve this, we're looking for a ** Professional , Behavioral Health ** to join...with at least 2 years being ASD related + Utilization or Case Management experience in a managed care… more
- UnityPoint Health (Cedar Rapids, IA)
- …site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in coordinating ... the department's interdisciplinary effort to assess and promote appropriate utilization of health care resources, provision of...State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional… more
- Saint Francis Health System (Tulsa, OK)
- …matching the level of care utilization . Assures compliance with Managed Care Behavioral Health standards in the area of UM procedures and documentation to ... therefrom or Master's degree in Social Work, Counseling or related behavioral health field. Licensure, Registration and/or Certification: Valid multi-state… more
- LifeCenter Northwest (Bellevue, WA)
- …Salary Position Type Full Time Description and Qualifications The Director, Organ Utilization (Director), is responsible for overseeing the processes and teams that ... and executes strategies to improve organ allocation strategy and organ utilization , collaborates closely with transplant programs and the surgical recovery team… more
- Tenet Healthcare (Detroit, MI)
- …: Minimum Qualifications BSN preferred. At least two (2) years acute hospital or Behavioral Health patient care experience required. One (1) year hospital acute ... we provide a comprehensive benefit package that prioritizes your health , professional development, and work-life balance. The...or behavioral health case management experience preferred. Active… more
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