A company is looking for a Utilization Review Clinician - Behavioral Health.Key ResponsibilitiesEvaluate treatment for mental health and substance abuse to ensure medical appropriatenessPerform prior authorization and concurrent reviews related to behavioral health servicesProvide education to providers and members regarding behavioral health utilization processesRequired Qualifications, Training, and EducationGraduate of an accredited nursing school or a Bachelor's degree with 2-4 years of related experienceMaster's degree for behavioral health clinicians requiredState licensure as LCSW, LMHC, LPC, LMFT, LMHP, or RN requiredClinical knowledge of mental health and substance abuse treatment plans preferredExperience working with healthcare teams in behavioral health preferred
Licensed Behavioral Health Advocate - AZ
A company is looking for a Licensed Behavioral Health Advocate to manage care for behavioral health and substance abuse cases remotely in Arizona. ...
Rn Utilization Review Ii
The RN Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the organizations mission and values. Excellent verbal and written communication skills, knowledge of clinical protocol, normative data and health benefit plans, part...
Licensed Behavioral Health Therapist
A company is looking for a Licensed Behavioral Health Therapist in Michigan. ...
Licensed Clinical Behavioral Health Professional
Licensed mental health clinicians including: Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Mental Health Counselor (LMHC), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Counselor of Ment...
Licensed Behavioral Health Case Manager
A company is looking for a Behavioral Health Case Manager to provide support in managing psychiatric and substance abuse cases. RN, LCSW, LMHC)Experience in case management/utilization managementPrior managed care experience required. ...
Nurse Case Manager - Inpatient Utilization Review
JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospi...
Director of Utilization Review
Complete daily reports and assign cases to the Utilization Coordinators, as well as, coordinate with other departments as needed to complete the Utilization Review process. Two years minimum experience in utilization review. Coordinate and manage the day to day activities of the Utilization Review S...
Utilization Behavioral Health Professional
Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. Associate benefits are designed to encourage personal wellness and smart health...
RN Utilization Review II
The RN Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the organizations mission and values. Excellent verbal and written communication skills, knowledge of clinical protocol, normative data and health benefit plans, part...
RN Utilization Review II
The RN Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the organizations mission and values. Excellent verbal and written communication skills, knowledge of clinical protocol, normative data and health benefit plans, part...