- Molina Healthcare (Louisville, KY)
- …in KY or have a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and inpatient ... for the OH Medicaid behavioral health population. Strong post-acute level of care experience (Nursing Facilities, Acute Inpatient, Rehabilitation, Long Term Acute … more
- Molina Healthcare (NM)
- …experience with MCG guidelines. At least 2 years of experience with inpatient concurrent review , prior authorization and managed care ; Acute care hospital ... .** JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services… more
- UPMC (Pittsburgh, PA)
- … care but also wish to assist with leading members of a clinical team? The Clinician Fellow, BH / Clinician role may be an ideal step forward in your ... is seeking dynamic leaders to assist in the clinical care and management of our inpatient units. All positions...the profession and the community. **We are seeking multiple Clinician Fellow, BH / Clinician candidates for… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …responsibilities specific to the clinical department within which the BH clinician is integrated. These include: Primary Care Integrated Behavioral Health + ... nurses and physicians on the front line of patient care , to the managers who lead and guide our...to the Administrative Director. + Presents clinical cases for review at weekly clinical meetings according to departmental standard.… more
- Centene Corporation (Honolulu, HI)
- …review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... Utilization Management experience strongly preferred.** **Position Purpose:** Performs a clinical review and assesses care related to mental health and… more
- Commonwealth Care Alliance (Springfield, MA)
- …care management and care delivery. Within the CIC Program, The Senior Clinician , Behavioral Health (SBHC) serves as a leader for behavioral health care ... communication with interdisciplinary team including but not limited to, Health Plan Care Team members, Community Advanced Practice Clinician , Community Licensed… more
- Moses/Weitzman Health System (Portland, CT)
- …collaborates with psychiatric and/or medical providers who are part of the client's care team. The clinician will document all clinical interventions in ... assigned. + Meets productivity standards as outlined annually during employees performance appraisal review with a focus on quality clinical care . + Encourages… more
- Moses/Weitzman Health System (Norwalk, CT)
- …assigned + Meets productivity standards as outlined annually during employees performance appraisal review with a focus on quality clinical care . + Encourages ... **Job Description Summary:** **Job Description:** The Behavioral Health Clinician I holds a terminal masters or doctoral level degree in their discipline, and… more
- Moses/Weitzman Health System (New Britain, CT)
- …assigned + Meets productivity standards as outlined annually during employees performance appraisal review with a focus on quality clinical care . + Encourages ... **Job Description Summary:** **Job Description:** The Behavioral Health Clinician II is an licensed independent provider who performs diagnostic psychosocial… more
- Moses/Weitzman Health System (Bethel, CT)
- …assigned + Meets productivity standards as outlined annually during employees performance appraisal review with a focus on quality clinical care . + Encourages ... NCQA, respectively. We deliver more than 600,000 patient visits per year from primary care hubs and community clinics across the state of CT, all connected by… more