- Commonwealth of Pennsylvania (PA)
- Clinical Care Reviewer ( County Care Management Manager) (Local Government) - Fayette County MH/ID Print ... (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5058227) Apply Clinical Care Reviewer ( County Care Management Manager) (Local… more
- UPMC (Pittsburgh, PA)
- …Position.** **Monday-Thursday 9:30am-8:00pm** **This position travels to patients' homes in Allegheny County .** The Nurse Clinical Care Coordinator is ... optimal member care . Conducts comprehensive face-to-face assessments that include a clinical assessment and treatment, a review of the medical, functional,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …+ Participate in the development and refinement of utilization management protocols and clinical review tools. + Collaborate with internal departments such as ... Applied Behavior Analysis (ABA) services for LA Blue members. The BCBA Utilization Reviewer will review treatment plans, conduct utilization reviews, and ensure… more
- Centene Corporation (Indianapolis, IN)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... on workplace flexibility. **Remote Opportunity** **Centene is Hiring - Remote Psychologist Reviewer (ABA)** **Centene is seeking a Remote Psychologist Reviewer … more
- Elevance Health (IN)
- **Physical Therapist Reviewer ** **Work schedule: M-F 7:30am to 4:30pm EST.** **Location:** **Fort Wayne Indiana.** **This field-based role enables associates to ... an accommodation is granted as required by law._ The **Physical Therapist Reviewer ** is responsible for performing medical record reviews specific to services billed… more
- Elevance Health (Cerritos, CA)
- The **Therapy Services Reviewer ** is responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational ... impact:** . Follows the system guidelines that makes decisions on approval for care for a patient. . Processes system generated decisions for authorization requests,… more
- Centene Corporation (Richmond, VA)
- …a collaborative, remote work environment** **This is a great opportunity to apply your clinical expertise in a non-direct care role, supporting quality care ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...with a passion for improving access to behavioral health care ? Centene is looking for a Remote Psychologist to… more
- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... requires licensure in New York. **Position Purpose:** Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to … more
- The County of Los Angeles (Los Angeles, CA)
- …Do you have experience in clinical leadership that influences and progresses clinical care , policy and collaboration in a multidisciplinary setting? + No ... NURSE PRACTITIONER- PEDIATRIC HUB CLINICS/NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2588395) Apply NURSE PRACTITIONER- PEDIATRIC… more
- The County of Los Angeles (Los Angeles, CA)
- …and their families. + Participates with hospital administration, medical administration, clinical care teams, and professional staff of other disciplines ... WORK Salary $116,488.32 - $156,985.20 Annually Location Los Angeles County , CA Job Type Full time Job Number Y9023B...related to program/service delivery in accordance with regulatory health care agency standards. + Represents the clinical … more
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