Role Overview The Supervisor Behavioral Health Utilization Management Review manages a remote team of 10 Behavioral... setting Minimum of 1 year of experience leading a remote behavioral health utilization management team in a managed care...
Role Overview The Utilization Management Review Supervisor manages a remote team of up to 12 clinical reviewers who... oversight, support, and direction to a remote team of Utilization Management Reviewers Clinical and technical support...
Role Overview The Utilization Management Review Supervisor manages a remote team of clinical reviewers who process... and/or concurrent reviews in a managed care environment required Experience leading a remote Utilization Management team in a health...
and medical management programs. These responsibilities extend to physical and behavioral health care and transportation services... in the state's Drug Utilization Review (DUR) Board Meeting and Mental Health Quality Assurance Committee. Partake...
management and specialty pharmacy services, behavioral health services, and other administrative services. Discover... and Supports (LTSS) Review Utilization Management program and staff under the supervision of the Director, LTSS Clinical Services...
Description : Join Our Mission to Transform Lives! At Rosecrance, we’ve been leading the way in behavioral health.... Supervise and oversee the Utilization Review Team. Use available data to monitor effective team behavior in compliance...
and applying nursing knowledge to support utilization review and care decisions. Utilization Management: Proficient in InterQual..., or debarment from Medicare/Medicaid. Preferred Qualifications Two (2) years of utilization review or case management...
Kingdom. www.uhs.com The UM Supervisor oversees the utilization management of the Behavioral Health Center including... as a treatment team member or 3-5 years of experience in utilization management for both mental health and substance abuse behavioral...
Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator (on-site) to join our compassionate and dynamic...Job Description: Responsibilities ***Join Our Team as a Utilization Review Coordinator!*** North Spring...
/utilization management. Skills & Knowledge Knowledge of pharmaceuticals used to treat pain Knowledge of behavioral health... in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To utilize evidence based tools to evaluate the...
Kingdom. www.uhs.com The UM Supervisor oversees the utilization management of the Behavioral Health Center including... as a treatment team member or 3-5 years of experience in utilization management for both mental health and substance abuse behavioral...
Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator (on-site) to join our compassionate and dynamic...Job Description: Responsibilities ***Join Our Team as a Utilization Review Coordinator!*** North Spring...
Clinical Supervisor and Utilization Liaison Company Overview: River Edge Behavioral Health is recognized for its... and Utilization Liaison will collaborate with the Utilization Manager and work closely with River Edge Behavioral Health’s clinical...
Summary We are currently hiring for a Behavioral Health Care Management Supervisor to join BlueCross BlueShield... of South Carolina. In this role as a Behavioral Health Care Management Supervisor, you will be responsible for the supervision...
Job Category: Comprehensive Care Advocacy Job Description: HealthPartners is hiring a Supervisor, Behavioral Health... practice experience; minimum of 3 years relevant utilization review, discharge planning, or case management experience...
Job Category: Comprehensive Care Advocacy Job Description: HealthPartners is hiring a Supervisor, Behavioral Health... practice experience; minimum of 3 years relevant utilization review, discharge planning, or case management experience...
Job Category: Comprehensive Care Advocacy Job Description: HealthPartners is hiring a Supervisor, Behavioral Health... practice experience; minimum of 3 years relevant utilization review, discharge planning, or case management experience...
in the UM Department. The Utilization Review Coordinator is responsible for executing the UR function, which includes the.... Qualifications QUALIFICATIONS Education: Bachelor Degree in Mental Health/Behavioral Sciences, Master's preferred, or RN in the...
, matching the level of care utilization. Assures compliance with Managed Care Behavioral Health standards in the area... details of reimbursement issues; also participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff...
: Utilization Management Physical Strength: Light (L) Reports To: Utilization Management Manager Work Location Type: Hybrid... The Clinical Support Specialist - Utilization Management (CSS-UM) will work in-person and remotely to perform all aspects...