Talent.com
Behavioral Health Appeals Clinician

Behavioral Health Appeals Clinician

VirtualVocationsHialeah, Florida, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Clinical Review Clinician Appeals - Behavioral Health.

Key Responsibilities

Performs clinical reviews to resolve and process appeals by analyzing medical records and clinical data

Ensures timely review and response to appeals in accordance with relevant standards

Communicates with members, providers, and other departments regarding appeals requests

Required Qualifications, Training, and Education

Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing

2 - 4 years of related experience

RN, LCSW, or LPC licensure required

Knowledge of NCQA, Medicare, and Medicaid regulations preferred

Knowledge of utilization management processes preferred

serp_jobs.job_alerts.create_a_job

Behavioral Health Clinician • Hialeah, Florida, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Behavioral Health Associate

Behavioral Health Associate

Acadia HealthcareBoca Raton, FL, US
serp_jobs.job_card.part_time
Come join our team as a Behavioral Health Associate, at Wellness Resource Center! We are looking for individuals who are passionate about behavioral health. If you are interested in growth opportuni...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Psychiatric-Mental Health Physician - $175 / yearly (Miami)

Psychiatric-Mental Health Physician - $175 / yearly (Miami)

DocCafeMiami, FL, US
serp_jobs.job_card.part_time
DocCafe has an immediate opening for the following position : Physician - Psychiatric-Mental Health in Miami, Florida.DocCafe is the premier physician and advanced practice job board to help you adv...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Licensed Behavioral Health Advocate

Licensed Behavioral Health Advocate

VirtualVocationsHialeah, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Behavioral Health Care Advocate - Utilization Management - Remote.Key Responsibilities Manage and administer behavioral health benefits for facility-based care Utilize...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Behavioral Health Therapist 1

Behavioral Health Therapist 1

AIDS Healthcare FoundationFort Lauderdale, FL, US
serp_jobs.job_card.full_time
Click here to learn more about Broward House!.Life-changing work is happening here… Join us!.Every day at Broward House someone finds healing. someone’s mind is renewed; hope and healt...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinician I

Clinician I

Camillus House IncMiami, FL, US
serp_jobs.job_card.full_time +1
The Camillus House ACT Team Program is dedicated to the treatment and recovery of adults living with a serious mental illness in Miami-Dade County. Clients are chronically homeless and may have a co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Licensed Clinical Psychologist

Licensed Clinical Psychologist

HeadwayFort Lauderdale, FL, US
serp_jobs.job_card.full_time
Licensed Clinical Psychologist.Wage : Between $95-$180 an hour.Licensed Clinical Psychologists — Are you ready to launch or expand your private practice? . Headway is here to help you start accepting...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Infectious Disease

Infectious Disease

Curare Group, Inc.MIAMI BEACH, Florida, US
serp_jobs.job_card.full_time
Infectious Disease physician job in Florida : Unique Concierge medicine opportunity in Miami Beach, Florida.Join a growing group in a position that allows you to focus on quality patient care free ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Arizona Licensed Behavioral Health Clinician

Arizona Licensed Behavioral Health Clinician

VirtualVocationsHollywood, Florida, United States
serp_jobs.job_card.full_time
A company is looking for an AZ Licensed Clinician : LCSW in Behavioral Health and Family Medicine.Key Responsibilities Provide customized care and treatment plans for patients in assigned Care Pod...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Behavioral Health Appeals Clinician

Behavioral Health Appeals Clinician

VirtualVocationsFort Lauderdale, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Clinician Appeals - Behavioral Health.Key Responsibilities Performs clinical reviews to resolve and process appeals by analyzing medical records and cli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Associate Attorney - Behavioral Health

Associate Attorney - Behavioral Health

Robinson and Casey, PLLCBoca Raton, FL, US
serp_jobs.job_card.full_time
We are in search of an adept and seasoned Associate Attorney with expertise in.The perfect candidate should possess at least 3-5 years of relevant experience, a solid grasp of courtroom procedures,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
RN Clinical Appeals Specialist

RN Clinical Appeals Specialist

VirtualVocationsPompano Beach, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals RN - Remote.Key Responsibilities Perform initial assessments of appeals, medical records, and compliance with coverage criteria Identify additional in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Psychotherapist

Clinical Psychotherapist

OWNERMiami, FL, US
serp_jobs.job_card.full_time
NOW HIRING : Bilingual Mental Health Therapist (Hybrid : In-Person + Telehealth) 1099.Full, Provisional, or Registered Intern. We are a fully licensed and accredited behavioral health agency, approved...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Licensed Clinical Therapist

Licensed Clinical Therapist

South County Mental Health CenterDelray Beach, FL, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Come grow with us! South County Mental Health Center, Inc.Joint Commission Accredited Behavioral Healthcare provider located in Southeast Palm Beach County, Florida.Situated in the city of De...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Psychotherapist Intern Outpatient Clinic– CSW / MHC / MFT / Independent Contractor / Fort Lauderdale

Psychotherapist Intern Outpatient Clinic– CSW / MHC / MFT / Independent Contractor / Fort Lauderdale

Harmony United Psychiatric CareFort Lauderdale, FL, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Harmony United Psychiatric Care Job Title : Psychotherapist Intern Outpatient Clinic– CSW / MHC / MFT / Independent Contractor Job location : Fort Lauderdale, FL About Us Harmony United Psy...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Director - Case Management - FT Days - MHW

Director - Case Management - FT Days - MHW

Memorial Healthcare SystemPembroke Pines, FL, US
serp_jobs.job_card.full_time
At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Behavioral Health Case Manager

Behavioral Health Case Manager

Drug Abuse Foundation of Palm Beach County, Inc.Delray Beach, FL, US
serp_jobs.job_card.full_time +1
Job Title : Behavioral Health Case Manager.Location : 400 South Swinton Ave.Delray Beach, FL 33444 (Main Campus).Job Type : Full time & Part Time (Must be flexible). Category : Prevention and Educat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Licensed Behavioral Health Clinician

Licensed Behavioral Health Clinician

VirtualVocationsHialeah, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluates treatment for mental health and substance abuse to ensure medical appropriateness Perfo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Behavioral Health Advocate

California Licensed Behavioral Health Advocate

VirtualVocationsDavie, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Behavioral Health Care Advocate - UM (Remote in CA).Key Responsibilities Handle inbound calls from providers and members in a call center environment Conduct initial c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Contracts Associate

Clinical Contracts Associate

VirtualVocationsHialeah, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Sr Associate Clinical Contracts & Budgets.Key Responsibilities Own end-to-end contract processes including CDAs, FFS, and POs, ensuring timely execution and serving as ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Missouri Licensed Behavioral Health Case Manager

Missouri Licensed Behavioral Health Case Manager

VirtualVocationsBoca Raton, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Behavioral Health Case Manager to provide support and advocacy for members with mental health conditions. Key Responsibilities Facilitate member education and caregiver ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30