Job Description: Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator... Per Diem To coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services...
Responsible for utilization review work for emergency admissions and continued stay reviews... for authorization Review, analyze, and identify utilization patterns and trends, problems, or inappropriate utilization of resources...
. This is a Salaried position. Overview POSITION SUMMARY: The Utilization Management and Review Specialist (UMR Specialist) evaluates... admission status of each patient. In addition the UMR Specialist will identify utilization issues involving under or over...
. The Outpatient Utilization Review Behavioral Care Advocate will complete telephonic clinical reviews directly... Utilization review/management experience *All employees working remotely will be required to adhere to UnitedHealth Group...
/ Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health... as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Behavioral...
/ Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health... as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Behavioral...
Role Overview: Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer...'s Degree in Social Work. Minimum of 2 years of behavioral health and substance use disorder experience. Utilization...
. Growing together. The Clinical Coordinator is responsible for processing all Behavioral Health and Substance Use Disorder.... Remote in Colorado preferred. Primary Responsibilities: Process all Behavioral Health and Substance Use Disorder...
. Growing together. The Clinical Coordinator is responsible for processing all Behavioral Health and Substance Use Disorder.... Remote in Colorado preferred. Primary Responsibilities: Process all Behavioral Health and Substance Use Disorder...
Advocate you will be responsible for utilization review of behavioral health and substance abuse cases. You'll have a direct... health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Behavioral Health Care...
Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non... in behavioral health and/or substance use disorder. Managed care and utilization management experience required. Licensure: RN...
, Commercial, etc.) 2+ years of utilization management experience Strong knowledge of utilization management processes... clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special...
an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care. You'll... or state equivalent) 2+ years of experience in behavioral health Preferred Qualifications: Inpatient experience Dual...
an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care. You'll... or state equivalent) 2+ years of experience in behavioral health Preferred Qualifications: Inpatient experience Dual...
of Utilization Review (UR) and Case Management!*** The UR and Case Management Director assists admissions in screening patients... and most respected healthcare management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities...
Job Description: Coordinates utilization review activities to ensure clinical documentation is accurate to secure... and address denials of care. Initiates appeal process and monitors response. Communicates utilization review and reimbursement...
of Utilization Review (UR) and Case Management!*** The UR and Case Management Director assists admissions in screening patients... and most respected healthcare management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities...
experience in a hospital setting required. Minimum one (1) year quality/utilization management experience in health care setting... with hospitalizations and focused on helping members who are hospitalized with behavioral health needs. This includes members admitted...
standard for care management. We're going beyond counseling services and verified referrals to behavioral health programs... and deescalate crisis calls from members *** As a Care Advocate you will be responsible for Utilization Review of mental health...
with utilization review in a health care provider or insurance environment required. Minimum of 2 years of leadership experience..., preferably related to clinical care, utilization review or case management. Master’s degree in social work or counseling...