- CVS Health (Hartford, CT)
- …clinician support as required. This position may support UM, MPO, Coding, or Behavioral Health appeals . **Required Qualifications** * Must have active ... At CVS Health , we're building a world of health...Summary** Responsible for the review and resolution of clinical appeals . Reviews documentation and interprets data obtained from clinical… more
- AmeriHealth Caritas (Philadelphia, PA)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... **Role Overview: ;** The Clinical Appeals Reviewer is responsible for processing appeals...managed care organization **Licensure:** + Current and unrestricted Registered Nurse (RN) licensure or compact state licensure **Skills &… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …member's benefit coverage while working remotely. Primary Responsibilities * Performs behavioral health clinical utilization reviews using evidenced based ... and CMS criteria sets * Experience with both inpatient and outpatient reviews for Behavioral Health (examples: TMS, ECT, ABA, Psychotherapy, IOP, PHP, IP Stays,… more
- City and County of San Francisco (San Francisco, CA)
- …✅ + THEN, submit your application Position(s) are located at the San Francisco Behavioral Health Center (SFBHC) formerly known as the Mental Health ... and Licensed Psychiatric Technicians. Work hours: The San Francisco Behavioral Health Center is open 24 hours...as a Licensed Psychiatric Technician or a Licensed Vocational Nurse providing psychiatric nursing care in a skilled facility… more
- State of Colorado (Pueblo, CO)
- Registered Nurse I - Nursing Residency Program - CMHHIP...and a community partner. CMHHIP is a 24 hour behavioral health acute care facility that is ... - Pueblo Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5145740) Apply Registered Nurse I - Nursing Residency Program - CMHHIP - Pueblo… more
- Cummins Behavioral Health Systems Inc. (Avon, IN)
- …with written Process Protocol. Essential Functions Include: Will provide behavioral health assessments/evaluations, medication management, psycho-education, and ... place. * If being part of a learning organization appeals to you, get in touch with us. *...will perform advanced behavioral health nursing in accordance with … more
- City and County of San Francisco (San Francisco, CA)
- …the work of multiple divisions - the San Francisco Health Network, Population Health , Behavioral Health Services, and Administration. The San Francisco ... promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides… more
- Corewell Health (Grand Rapids, MI)
- …reviews and appeals . Additional support to the UM functions of the Corewell Health South Behavioral Health Inpatient unit. + Assesses internal and ... all components of insurance prior authorizations, initial reviews, continuous stay reviews and appeals . Nurse Care Manager - Plans and prioritizes care for… more
- State of Colorado (Lakewood, CO)
- …safe storage and handling. Mental Health : Evaluates resident's mental status/mental health and behavioral health conditions through interview, health ... Registered Nurse I, (RN I) - Part Time -...events! CDHSCareers Description of Job Summary of Position: Delivers health care to detained and committed youth within the… more
- State of Colorado (Pueblo, CO)
- …mental health services, and a community partner. CMHHIP is a 24 hour behavioral health acute care facility that is intended to provide a safe, secure, ... Registered Nurse II- CMHHIP Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5130585) Apply Registered...Primary Physical Work Address In person at Colorado Mental Health Hospital in Pueblo, 1600 W. 24th Street, Pueblo,… more