- Point32Health (MA)
- …prior authorization list using specified clinical criteria sets. + Concurrent review of Behavior Health Services + Identification and determination of ... care management principles. Health Plan experience performing utilization review activities. Experience with McKesson's InterQual Clinical Screening… more
- Fenway Health (Boston, MA)
- …serves as a connector between medical staff and education leads in other clinical departments, including Behavioral Health , Psychiatry, Dental, and ... Education provides leadership and oversight for medical education and clinical training programs across Fenway Health . This...complete documentation in the EMR + Participates in case review , peer supervision, and clinical education forums… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Leadership & Integration + Drive adoption and scaling of integrated behavioral health models + Collaborate with CBHO, clinical teams, and external partners + ... + Use systems thinking to contribute to the innovation, development and sustainability of behavioral health services. + Clinical Oversight + Provide … more
- State of Massachusetts (Canton, MA)
- …pediatric and adolescent inpatient programs. As the Leader of Behavioral Health Services, you will provide clinical direction, supervise psychologists and ... all inclusive):_*/ . Provide clinical and administrative leadership for Behavioral Health Services across all pediatric and adolescent inpatient programs.… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer also provides clinical leadership in other areas of BCBSMA. The ... your true colors to blue. The Role The Physician Reviewer is responsible for evaluating clinical service...anticipatory case management for members whose cases come for review , in partnership with case managers + Participate in… more
- Beth Israel Lahey Health (Lynn, MA)
- …a clinical review of referrals for admission to the inpatient behavioral health units, clinical acceptance of admissions, and coordinates the ... setting preferred + MA professional licensure not required **Skills/Qualifications:** + Clinical knowledge of behavioral health diagnoses and conditions… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …highly dedicated and motivated team of professionals, including medical and behavioral health care managers, dietitians, pharmacist, clinicians, medical ... true colors to blue. The RoleThe RN Utilization Management Reviewer is responsible for facilitating care for members who...3-5 years relevant experience in a variety of appropriate clinical health care settings (inpatient, outpatient, or… more
- East Boston Neighborhood Health Center (MA)
- …workflows, documentation tools, and staff training initiatives related to behavioral health within Recovery Services. + Support new clinical initiatives and ... and approve treatment plans ensuring they meet regulatory and clinical standards. + As needed, review and...mental health conditions + Knowledge of major clinical therapeutic models and behavioral health… more
- Commonwealth Care Alliance (Boston, MA)
- …health services available to support dual eligible populations * Experience in behavioral health clinical practice, provider relations, or healthcare ... This position works closely with CCA's Behavioral Health , Health Home, Network, and Clinical...teams to support consistency and quality across BH and Health Home providers. * Participate in case review… more
- Fallon Health (Worcester, MA)
- …+ Serves as a behavioral health consultant to the Fallon Health Clinical Integration Team + Offers recommendations to continued program development and ... health plans for member experience and service and clinical quality. **Brief Summary of Purpose:** The Accountable Care...**Brief Summary of Purpose:** The Accountable Care Organization (ACO) Behavioral Health Case Manager (BHCM) is an… more