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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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Participates in other high risk multidisciplinary complex case staffing as needed to include Vaya CMO/ Deputy CMO, Utilization Management, Provider Network, and Care Management leadership to address barriers, identify need for specialized services to meet client needs within or outside the current behavioral health system.
$64,793.66 - $93,950.81 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Develops, implements, monitors and evaluates Utilization and Care Management metrics specific to Behavioral health services across all plan types as necessary.
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BEHAVIORAL HEALTH PROVIDER - PRIMARY CARE LICSW, LMFT, or LMHC Hyannis, MA Must have the following qualifications for consideration: Current MA LICSW (Licensed Independent Clinical Social Worker), LMHC (Licensed Mental Health Worker) or LMFT (Licensed Marriage and Family Therapist Master's Degree in relevant discipline 2 years of experience providing therapy in individual, family and/or group modalities preferred, based on licensure Current Massachusetts LADC1 preferred.
Up to $90,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The C&S Plan Chief Medical Officer has accountability for ensuring that local health plan, United Clinical Services and UHC initiatives focusing on clinical excellence, quality ratings improvement, appropriate inpatient and outpatient utilization, health care affordability, health system transformation including provider network issues, mandated provisions and compliance, growth and focused improvement are implemented and successfully managed to achieve goals.
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Provide behavioral health care management support for Suboxone patient panel, particularly coordination of care between medical providers and community resources. Experience in behavioral health as a clinical provider (biopsychosocial evaluations and psychotherapy.
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The Integrated Behavioral Health Department includes Master's and Doctoral level clinician who are integrated into primary care settings as well as some specialty care settings.
$54.41 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
$33.3 - $44.49 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem, at our new 133 bed Acute Psychiatric Hospital, located in South San Jose, CA.
$45 - $70 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The purpose and goal of utilization management is to assure that Wellsky’s population receives medically necessary services in the appropriate setting, with the appropriate provider, and at the appropriate level of care.
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The Behavioral Health Specialist will work closely with FACT, Child Protective Services and community providers to stabilize youth and family, avoiding placement into DHS Foster Care. CCSI is partnering with Monroe County Department of Human Services to hire a Behavioral Health Specialist.
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Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County.
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Work with a multidisciplinary care team, including primary care provider, psychiatrist, -and psychiatric nurse practitioner, -to -treat -and manage patients efficiently and effectively, ensure quality -care, and -promote and restore -patients' physical and mental health.
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Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
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Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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care provider behavioral health utilization management plan jobs Company: Integral Care in Sherwood, Oregon
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