A company is looking for a Mental Health / Substance Use Utilization Management Clinician to perform utilization review tasks related to mental health and substance use services.
Key ResponsibilitiesReview Service Authorization Requests (SARs) and Treatment Plans for medical necessityFacilitate provider network development by identifying service gaps and providing trainingConduct clinical reviews and case consultations to ensure appropriate service provisionRequired Qualifications, Training, and EducationMaster's degree in a Human Services fieldTwo years of post-degree relevant experience in a clinical settingExperience in a Utilization Management environment in Behavioral HealthcareCurrent, active, unrestricted professional license or certification in North CarolinaKnowledge of mental health and substance use treatment protocols
Bilingual Mental Health and Developmental Clinician
The Child First Mental Health and Developmental Clinician partners with a Family Support Partner to engage families who are referred to the Child First home-based intervention. The Child First model is an evidence-based, two-generation intervention that works with very vulnerable young children (pre...
RN Utilization Management, Behavioral Health
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information**Desired Qualifications**+ Bachelor's or advance degree+ Experience in Behavioral Health, Utilization Management and/or Behavioral Health utilization management experience (performing medical necessity reviews ...
Child First Mental Health Clinician-Denver
Child First Mental Health Clinician. Annual base salary is $62,000 for a bi-lingual clinician and $65,000 for a licensed bi-lingual clinician. Master’s or Doctoral level mental health provider (e. Experience providing mental health assessment and consultation to early care and education sites....
Mental Health Clinician with or on Licensure Track (LCSW/LPC/LMFT)
Perform 27-10 (M-1) "mental health hold" evaluations. Provide case management services to clients as needed or assigned. One or more years experience in clinical social work & experience working with moderate to severe and persistently mentally ill populations preferred. ...
Utilization Management, Grievance and Appeals Operations Manager - Denver Health Medical Plan
The Manager, Health Plan Business Operations for Grievances and Appeals is responsible for managing health plan operations and regulatory compliance with emphasis on grievances and appeals, utilization management and claims processing. We are recruiting for a Utilization Management, Grievance and Ap...
Masters, or Licensed Clinician - Saturday Shift, 7A to 7:30P - Team 880
The clinician provides direct mental health clinical assessments and treatment to individuals experiencing a behavioral health crisis. Mental Health Therapist II (Masters): $28. Perform 27-10 (M-1) "mental health hold" evaluations. Clinicians: The Solutions Center is a 24/7 crisis facility serving t...
Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN
Under minimum supervision, Utilization Management Nurse will apply quality and utilization management activities in a system of interdisciplinary departmental teams in order to ensure the optimal use of resources at Denver Health. Level I Trauma Center, a 555-bed acute care medical center, Denver's ...
Masters or Licensed Clinician - Solution Center - Variable Hours/PRN
Mental Health Therapist II (Masters):. Perform 27-10 (M-1) "mental health hold" evaluations. Provide case management services to clients as needed or assigned. Experience working with moderate to severe and persistently mentally ill populations. ...
Nurse Medical Management II - Utilization Management
Nurse Medical Management II - Utilization Management. Requires minimum of 3 years acute care clinical experience or case management, utilization management or managed care experience; or any combination of education and experience, which would provide an equivalent background. Elevance Health is a h...
Licensed ASL Fluent Clinician
Provide diagnostic mental health assessments as well as individual, family, play, couple, and/or group psychotherapy along with crisis intervention and case management. Mental Health Therapist II (Master's degree): $28. Facilitate the coordination of medication needs of people served with psychiatri...