- WellSense (Boston, MA)
- …collaborates closely with leaders and staff from other teams and departments, including BH Care Management, BH Utilization Management, medical Care ... Supervisor of BH Clinical Support WellSense Health Plan is a...caseloads to ensure timely and effective service delivery. + Review and provide feedback on case documentation and other… more
- Centene Corporation (Tallahassee, FL)
- …review and/or assess ABA Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with providers ... education to members and their families regrading ABA and BH utilization process + Provides feedback to...and healthcare teams to review care services related to Applied Behavior Analysis Services… more
- Centene Corporation (San Antonio, TX)
- … of services + Provides education to providers members and their families regrading BH utilization process + Interacts with BH healthcare providers as ... accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health ( BH ) inpatient to...preferred. + Knowledge of mental health and substance abuse utilization review process is preferred. + Experience… more
- Centene Corporation (Tallahassee, FL)
- … 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
- 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
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