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Provides medical direction and guidance to the Behavioral Health Department in the arena of inpatient, outpatient pre-service authorizations and utilization management, including the coordination of care with external agencies, consultation on complex cases, and participation in Interdisciplinary Care Teams/case conferences.
$115.71 - $159.1 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Working in collaboration with Utilization Management team of nurses and physician advisors to ensure timely handling of authorizations, and denials for hospitalized patients as well as for infusion center patients.
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This individual reports to the Behavioral Health Director and is responsible for working independently, managing a diverse and sometimes difficult caseload, does related work as required.
$60,000 - $70,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Participates in the development and implementation of the behavioral health sections of the Quality Management (QM)/Utilization Management (UM) Plan. Oversees the administration of all BH QM/UM and performance improvement activities, encompassing grievances and appeals, and contributes to various other subcommittees such as Compliance and Pharmacy.
$200ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Three to Five years experience in case management or utilization review or proven success as Registered Nurse Utilization Review I role. The RN Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS.
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Support on the Unit: Case Management Assistants, Lead Case Managers, Social Work Complex Psychosocial patient consultants Utilization Review RNs, Hospitalist. Registered Nurse - Case Management.
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Job will be considered a member of management staff at Prisma Health Company or affiliate and will have direct reports. In collaboration with the Nurse Manager, performs a variety of human resources activities including, but not limited to: interviewing, hiring, evaluating, coaching, counseling, staff rounding and performance management of unit staff.
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UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends. Life Bridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: Life Bridge Health & Fitness, Express Care and Home Care of Maryland.
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This role focuses on improving the health status and connection to resources, preventive care, hospital follow-up, and ongoing healthcare for individuals with chronic health conditions as well as addressing frequent hospital and emergency department utilization, and medical, behavioral health, and psychosocial needs by performing care management and care coordination functions in a variety of settings that include a patient’s home, community, and clinic.
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O Certified Professional Utilization Management (CPUM) from McKesson Health Solutions. o Possess two (2) years of full-time broad based registered nurse experience in a utilization management review or a case management setting within the preceding five (5) years.
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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management.
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Perform all duties in alignment with the mission, vision, values, and behavioral expectations of NYC Health + Hospitals. Acts as a liaison with Admitting, Emergency Department, Ambulatory Care, Nursing Stations, HIM, Revenue Cycle, Utilization Management, Social Services and other departments concerning preparation, delivery, control of patients’ charges and credits.
$80,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Provides a range of services including screening for common conditions, assessments, and interventions related to behavioral health and chronic disease management programs. The Behavioral Health Provider will be able to provide appropriate behavioral health treatment to individuals, couples, and families.
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Management experience in hospital based Behavioral Health preferred. General Summary of PositionJob Summary:Medstar Health is looking for aSenior Director of Behavioral Health Servicesto join our team at MedStar Washington Hospital Center.
$150ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Keywords: Behavioral Health; Psychiatric; Registered Nurse; RN; Per Diem; Connecticut; supervisio. Knowledge and experience with SAMSHA regulations, DPH, Joint Commission, Utilization management Detoxification requirements, Core measures, and psychiatric experience with the adult, child and adolescent and TBI and Rehab populations.
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behavioral health utilization management jobs Title: registered nurse Company: Health Ecareers in Jean, Nevada
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