in a cost effective setting in accordance with UM Clinical Guidelines and contract. Refers cases to Peer Reviewers... knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare...
(including new programs), monitoring data collection, and collaborating with Clinical Supervisor to provide high quality ABA... clinical interventions. Position Responsibilities Collaborate with BCBAs to provide high-quality services. Work...
(including new programs), monitoring data collection, and collaborating with Clinical Supervisor to provide high quality ABA... clinical interventions. Position Responsibilities Collaborate with BCBAs to provide high-quality services. Work...
with UM Clinical Guidelines and contract. Refers cases to Peer Reviewers as appropriate. Performs psychiatric and substance abuse... clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support...
with pricing, clinical operations, provider network, provider contracting, and finance. Interpret, analyze, communicate and provide... identifying medical and pharmacy cost trend drivers, including but not limited to, impacts from: clinical programs, contracting...
with pricing, clinical operations, provider network, provider contracting, and finance. Interpret, analyze, communicate and provide... identifying medical and pharmacy cost trend drivers, including but not limited to, impacts from: clinical programs, contracting...
Officer with ancillary report responsibility to Chief Executive Officer FLSA: Exempt Classification: Full-Time (35 Hours... of Revenue acts as a bridge between clinical/operational teams, administrative departments, external payers, and regulatory...