- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** The Sr Clinician , Behavioral Health Utilization Review will review behavioral health and ... in behavioral health managed care preferred + Experience in behavioral health utilization review or medical necessity evaluation preferred **Required Knowledge,… more
- Centene Corporation (Little Rock, AR)
- … of services + Provides education to providers members and their families regrading BH utilization process + Interacts with BH healthcare providers as ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
- Independent Health (Buffalo, NY)
- …culture that fosters growth, innovation and collaboration. **Overview** The Behavioral Health Utilization Review Clinician will primarily be responsible for ... and intervene appropriately is preferred. + Experience using clinical review criteria. + Self-starter with high level of accountability... by assigned medical director, as needed. + Perform utilization of behavioral health ( BH ) services for… more
- Baystate Health (Springfield, MA)
- …meetings to address treatment objectives. **6.** May collaborate as assigned with utilization review specialist to obtain necessary insurance authorizations and ... **Emergency Department Crisis Clinician ** Baystate Health, a nationally recognized leader in...for gathering a psychosocial evaluation through interviews and record review and completing a written assessment with case formulation… more
- Eastern Connecticut Health Network (Manchester, CT)
- …clinical information and disseminates to the interdisciplinary treatment team. + Contacts Utilization Review clinician with authorization and follow up ... works in collaboration with Director of CAT, Nurse Managers, Crisis Services, and Utilization Review . Responsible for patient movement across the system. Assists… more
- Whitney Young Health Center (Albany, NY)
- …Health Service Lines serves as an integral member of the Behavioral Health ( BH ) leadership team. Reporting directly to the Chief Behavioral Health Officer (CBHO), ... RESPONSIBILIRIES: (In collaboration with the CBHO) . Conducts program(s) utilization /management audits necessary to maintain clinical processes, practices and… more
- Elevance Health (Seattle, WA)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... Medical Director** is responsible for serving as the lead clinician for a plan. Responsible for the administration of...responsible for working with the CMO, Behavioral Health CMO ( BH -CMO), Pharmaceutical director and the whole health director to… more