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If you're an experienced clinician looking to forge a new career path where your clinical knowledge is valued, consider our Utilization Review Specialist position. As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare resources.
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Crisis intervention skills preferred Managed care/utilization review experience preferred. Managed care/utilization review experience preferred. Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state they reside in/ one or more or equivalent is required:(LCSW Licensed Clinical Social Worker, LISW Licensed Independent Social Worker, LCPC Licensed Clinical Professional Counselor, LP Licensed Psychologist, LMFT Licensed Marriage and Family Therapist, LMHC Licensed Mental Health Counselor.
$129,600 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Psychiatric Nurse practitioners may participate in utilization review activities as needed to ensure patients are able to access necessary careThe Psychiatric Nurse Practitioner will fulfill all duties in compliance with Pioneer Rural Health procedures including 42 CFR, Part 2 (privacy regulations.
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The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by hospital policies standards of practice and. Woodland Memorial Hospital is a 108-bed acute care facility offering the most comprehensive range of health care services in Yolo County including inpatient and outpatient surgical services family birth center/labor and delivery emergency services home health services palliative care inpatient mental health services sleep disorders center and cancer care services.
$46.96 - $68.1 an hourExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Works with the Utilization Manager, Transitional Navigator, and other program staff to coordinate Crisis Intervention Services’ Utilization Review process. Certified by the Office of Mental Health (OMH) as a Certified Peer Specialist or Office of Alcoholism and Substance Abuse (OASAS) as a Certified Peer Recovery Advocate or willingness to become certified within six months of hire is preferredA respect for and high level of comfort around people experiencing psychiatric crisis.
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Prepare pre-certification/authorization information to insurance utilization review team and subsequent concurrent review (continued stay) clinical reports per medical necessity criteria.
$75,000 a yearExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Dignity Health Woodland Memorial Hospital is Yolo County’s largest health care provider serving the community since 1905. The RN Care Coordinator is responsible for assessing planning facilitating and advocating for options and services through a continuum of care from point of contact through discharge on assigned patients.
$79.61 an hourExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Outpatient levels of care include: Individual Therapy, Group Therapy, Family Therapy, Marriage/Couples Therapy, Psychological Testing, Neuropsychological Testing, ABA, Psychosocial Rehabilitation, Intensive Outpatient Treatment, Day Treatment, and Mental Health Support Services.
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Responsible for oversight of all clinical services in the program including assessment and intake processes, group facilitation, family therapy services and programming, individual therapy, aftercare planning, crisis stabilization, and utilization review.
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Participate in user recommendations regarding chart review/utilization review processes, electronic medical records system, data collection/integrity for episodic data, and external chart audits/reviews.
$30 - $40 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs.
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Completes utilization reviews, oversees primary therapist process of utilization review and assists in the process of assuring that all client stays are covered in some way (i.e. insurance, private pay, etc.
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This involves coordinating and collaborating with other services and agencies such as the Conservator's Office, eligibility workers, Public Defender, Public Guardian, Court Services, Third Party Utilization Review Departments, and multiple County Mental Health Services system of care entities.
$22.38 - $27.67 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Per Diem Nurse participates in the multidisciplinary team, Quality Assurance, and Utilization Review activities. Keywords: Non-profit, Nonprofit, Mental Health, Youth, Advocate, Family, Children, Family, Families, Behavioral Health, Healthcare, Nurse, Nursing, Direct Care.
$60.85 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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The Utilization Review coordinator performs activities which support the Utilization Management functions. We are Hiring at UofL Health Utilization Review Coordinators.
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utilization review mental jobs
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