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...
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...
health (Aurora Pavilion Behavioral Health), emergency medical care (main hospital and ER at Sweetwater), orthopedic surgeries.... Educates all members of the health care team on an ongoing basis. Duties: Provides concurrent review of the clinical...
health (Aurora Pavilion Behavioral Health), emergency medical care (main hospital and ER at Sweetwater), orthopedic surgeries.... Educates all members of the health care team on an ongoing basis. Duties: Provides concurrent review of the clinical...
of Illinois. Position Overview The Division of Behavioral Health and Recovery is seeking to hire a clinical psychologist... as an expert witness in accordance with Mental Health Code and Forensic statutes. Essential Functions Serves as a clinical...
. Collaborate with Clinical Director and Lead Behavioral Health Tech to approve all clinical passes for clients in community housing... level of care. Collaborate with Clinical Director and Lead Behavioral Health Tech to approve phone calls for clients...
- you will be assigned a shift between 7:00 AM and 5:00 PM Pacific. The Behavioral Health (BH) Utilization Management Representative... requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry...
effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring... adherence to the health plan’s state and federal multiple drug benefit design offerings. The incumbent responds to physician...
physician reviewer assignments for medical management decisions. Cases requiring physician review are provider and member...), Utilization Review Accreditation Committee (URAC), Pennsylvania Department of Health, Department of Labor, the Center for Medicare...
of 2/year, submit signed “Peer Reviewer Validation Form”)Demonstrated ability to assume a clinical leadership role... and individuals with behavioral challenges, ensuring they receive the specialized care needed for recovery. Our multidisciplinary team...
of 2/year, submit signed “Peer Reviewer Validation Form”)Demonstrated ability to assume a clinical leadership role... and individuals with behavioral challenges, ensuring they receive the specialized care needed for recovery. Our multidisciplinary team...
treatment adherence. The Psychologist will also provide consultation to the FND team, other medical teams, outpatient behavioral... health providers, and school-based partners to facilitate ongoing outpatient care for patients treated through the FND...
a pediatric psychologist to join our rapidly expanding integrated behavioral health in primary care programs (Healthy Minds... of behavioral health in primary care and provides consultative and intervention services in pediatric primary care practices in the...
, including novel treatments, to support high-quality clinical decision-making across medical and behavioral health conditions... for customers/members with a focus on service and cost Improves clinical outcomes through daily interactions with health care...
, including novel treatments, to support high-quality clinical decision-making across medical and behavioral health conditions... for customers/members with a focus on service and cost Improves clinical outcomes through daily interactions with health care...