- Centene Corporation (Atlanta, GA)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... policies and standards. We are seeking a Licensed Clinical Behavioral Health Professional or RN to join...health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review… more
- Immigration and Customs Enforcement (Washington, DC)
- …Perform other duties and responsibilities as assigned. 16. Utilization review /management for inpatient behavioral health hospitalization for IHSC. ... Summary The Behavioral Health Case Manager is a...review and approval. Investigate complaints related to detainee behavioral health care and provides reports as… more
- UnityPoint Health (Cedar Rapids, IA)
- …regarding managed care implications - precertification and utilization review procedures. . Provides consultation regarding behavioral health ... the assessment, planning, implementation and evaluation of patient care on the behavioral health units. Responsible for the delivery of patient care through a… more
- Charter Care Health Partners (Providence, RI)
- Summary: The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management, reviewing intake assessments, verifying ... Experience: Minimum 2-3 years of experience in behavioral health , preferably in intake or utilization review roles. License: RI RN License required.… more
- CVS Health (Phoenix, AZ)
- …be at the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate, evidence-based care. You'll ... Apply critical thinking and evidence-based clinical criteria specific to Behavioral Health to evaluate inpatient and outpatient...intensive outpatient programs. + At least 1 year of Utilization Management experience in concurrent review or… more
- UnityPoint Health (Cedar Rapids, IA)
- …+ Job ID: 174223 Overview 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 communication… more
- Spectrum Billing Solutions (Skokie, IL)
- …(Word, Excel, billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization ... Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing Specialist #UtilizationReviewSpecialist | #UtilizationManagementSpecialist… more
- BriteLife Recovery (Englewood, NJ)
- …in utilization review , case management, or insurance coordination in a behavioral health or substance use treatment setting. + Knowledge of ASAM criteria ... What you will be doing? The Utilization Review (UR) Specialist is a...and a working knowledge of insurance guidelines specific to behavioral health What tasks are required? +… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …health and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $31.50-37.50 Per Hour ... of the greater Santa Rosa and Northern California mental health system of care. Conveniently located in the North...RN/LCSW/LMFT/LPCC $54.00-64.00 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as… more
- State of Indiana (Evansville, IN)
- Utilization Review Coordinator-LPN Date Posted: Oct 30, 2025 Requisition ID: 466513 Location: Evansville, IN, US, 47714 Work for Indiana Begin a fulfilling ... a Psychiatric Medicare/Medicaid Hospital. Role Overview: This position serves as the Utilization Review Coordinator within a psychiatric hospital setting. They… more
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