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
Mental Health Utilization Management Clinician
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. ...
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...
Behavioral Health Utilization Review Clinician - AZ Licensed
A company is looking for a Utilization Review Clinician - Behavioral Health. ...
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 ...
Lead Mental Health Clinician
The Lead Mental Health Clinician serves two main functions: 1) provides services and counseling for youth ages 0-26 and/or their caregivers and 2) provides leadership and management of the mental health program, including supervising one staff clinician. Main program areas of emphasis in the mental ...
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. ...
Masters on Licensure Track, Licensed (preferred) Mental Health Clinicians (LCSW/LPC/LMFT)
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. ...
Licensed Clinician (LCSW/LPC/LMFT) - Skilled Nursing Facility
Perform 27-10 (M-1) "mental health hold" evaluations. Provide case management services to clients as needed or assigned. ...
Bilingual Mental Health and Developmental Clinician
Summary of Position 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. Overview The Child First model is an evidence-based, two-generation intervention that works with ...
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...