in utilization review, case management, or discharge planning preferred. Three years of experience in a Behavioral Health facility...Job Description: Responsibilities Utilization Review Coordinator Opportunity! Lighthouse Behavioral Health...
Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs... health and substance abuse utilization review process preferred. Experience working with providers and healthcare teams...
review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning... state required. Master’s degree for behavioral health clinicians required. Clinical knowledge and ability to review...
review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning... applicable state required. Master’s degree for behavioral health clinicians required. Clinical knowledge and ability to review...
), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost...-effective care management solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization...
with Clinical Insight. Whether you’re an experienced utilization review nurse, a sharp case manager, or a behavioral health..., behavioral health services, and other administrative services. Discover more about us at . Join a mission-driven Utilization...
Job Title: Utilization Management Nurse – Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain... Position Type: Temporary to Permanent Position Summary: A Managed Care Organization is seeking a Utilization Management...
Role Overview Under the direction of a supervisor, the Utilization Management Review Nurse evaluates medical... determinations based on clinical criteria. The Utilization Management Review Nurse uses professional judgment to assess the...
, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services... Care Reviewer – Utilization Management evaluates medical necessity for inpatient and outpatient services, ensuring...
;as a Registered Nurse working with medically fragile pediatric patients in a clinical setting Minimum of 3 years of Utilization... and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www...
managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services...Role Overview Under the direction of a supervisor, the Clinical Care Reviewer – Utilization Management evaluates...
Role Overview Under the direction of a supervisor, the Utilization Management Review Nurse evaluates medical... determinations based on clinical criteria. The Utilization Management Review Nurse uses professional judgment to assess the...
, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services... Care Reviewer – Utilization Management evaluates medical necessity for inpatient and outpatient services, ensuring...
, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services... Care Reviewer – Utilization Management evaluates medical necessity for inpatient and outpatient services, ensuring...
, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services... (LTAC), home health care, or medical office setting. Minimum of 1 year of utilization management experience preferably...
, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services... Care Reviewer – Utilization Management evaluates medical necessity for inpatient and outpatient services, ensuring...
, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services... as a Registered Nurse working with medically fragile pediatric patients in a clinical setting. Minimum of 3 years of Utilization...
Workers provide crisis intervention, behavioral health and chemical dependency assessments, screen for abuse and neglect... for equipment, and arrange for additional services in the community. Utilization Management/Case Management Nurses provide clinical...
the development, implementation and administration of daily Behavioral Health Utilization Management Services operations... supervisory or management (with Direct Reports) experience in a behavioral health utilization management or medical utilization...
. Job Description Summary: Behavioral Health Utilization Management clinician is responsible for review of clinical information received...Sentara Health Plans is hiring a Behavioral Health Utilization Management Care Coordinator (LCSW/LPC/LMFT/RN) remotely...