Role Overview: Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer... to integrated care management as needed. The BH UM Reviewer will apply medical health benefit policy and medical management...
Role Overview: Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer... to integrated care management as needed. The BH UM Reviewer will apply medical health benefit policy and medical management...
Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non... in Social Work. Registered Nurse candidates must have a minimum of 5 years of clinical practice experience in behavioral health...
Seeking candidates with RN//or behavioral health license in the State of New Mexico and Psychiatric/Behavioral Health... Reviewer - BH - Remote, NM Grade 26 Work Experience - Required Clinical Work Experience - Preferred Quality Education...
Responsibilities for Remote Clinical Psychologist Reviewer: Review and assess behavioral health service requests for medical necessity...Remote Clinical Psychologist Reviewer Location: Remote - Indiana, Georgia, North Carolina, Pennsylvania, Michigan...
Role Overview: The Clinical Appeals Reviewer is responsible for processing appeals and ensuring all milestones... and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www...
. This detailed clinical judgment includes evaluating whether the requested service is a covered benefit under the member's health.... Identify and refer members with specific medical and/or behavioral health needs or complex case management and collaborate...
About Our Agency The South Carolina Department of Behavioral Health and Developmental Disabilities (BHDD... Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities...
Research Investigator II - Behavioral & Mental Health Research Investigator II - Behavioral & Mental Health will work... expertise and funding in Behavioral and Mental Health. This includes a background in mental health services research...
issues. o Using advanced clinical skills, review crisis and safety plans for members experiencing a behavioral health... comprehensive member needs. Required Qualifications · Unencumbered Behavioral Health clinical license in Ohio is required (LMFT...
, Capabilities & Experiences: Minimum of 2 years’ experience in a Behavioral Health/Clinical setting preferred. ABA experience.... How you will make an impact: Partners with internal UR staff and external Behavioral Health Providers to ensure appropriate...
of clinical documentation associated with home health, hospice, LTACHs, and community based services, in response to external.... Responsibilities Conducts thorough clinical review of Home Health, Hospice, Community Based Services, and LTACH documentation...
) Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information given... clinical input and oversight related to outpatient services Conduct peer reviews with psychologists, behavioral health...
about making a meaningful impact in both clinical and behavioral health? Our department stands out for its innovative, patient... future of behavioral health care. Job Description Location: Largo, MD - Onsite Hours: 8am- 4:30pm, rotating weekends...
management and specialty pharmacy services, behavioral health services, and other administrative services. Discover... assessment knowledge and health care/social services licensure experience, the Reviewer reviews the Service Coordinator...
Overview: Job Summary Under the general supervision of the Associate Director, or designee, the Clinical Reviewer... most appropriate setting and whether the individual has a need for behavioral health, rehabilitative or specialized services...
for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria... for medical necessity and appropriateness of care Conduct peer reviews with psychologists, behavioral health therapists...
, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information given...! Are you a licensed Psychologist with a passion for improving access to behavioral health care? Centene is seeking a Remote Psychologist...
for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria... required Behavioral Health Experience: Minimum of 2 years required. Post-Licensure Clinical Experience: At least 2 years strongly...
for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria... required Behavioral Health Experience: Minimum of 2 years required. Post-Licensure Clinical Experience: At least 2 years strongly...