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Behavioral Health Utilization Reviewer (LPCC, LMFT, LCSW, or RN)
access_time Posted 8 days ago
account_balance Adolescent Growth, Inc
location_on Pasadena
The role involves working closely with other members of the clinical team to authorize and review the utilization of mental health and substance abuse services that are provided in residential ...
Utilization Review Specialist
access_time Posted 5 days ago
account_balance Growth Management
location_on Pasadena
Under general supervision and in collaboration with other members of the clinical team authorizes and reviews utilization of mental health and substance abuse services provided in residential ...
Behavioral Health Claims Review Nurse (BHJOB1435_32018)
access_time Posted 28 days ago
account_balance Astyra Corporation
location_on Phoenix
Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and ...
Clinical Content Reviewer, Specializing in: Allergy/Immunology, Neurosurgery, Pathology, Plastic Sur
access_time Posted 18 days ago
account_balance Osmosis
location_on Remote
Clinical Content Reviewer - PT Fixed Term Contract About Elsevier A global leader in information and analytics, we help researchers and healthcare professionals advance science and improve health ...
Physician Reviewer
access_time Posted 14 days ago
account_balance AltaMed
location_on Montebello
* Job Description The Physician Reviewer of Utilization Management will provide routine review of ... standards for clinical practice for assigned area(s) of responsibility. 9. Ability to work ...
Quality Review Nurse
access_time Posted 2 months ago
account_balance Center for Orthopedic and Research Excel
location_on Phoenix
For Value-Based Care (VBC) programs within HOPCo Clinically Integrated Networks (CINs), promotes ... Clinical review, utilization review, or quality assurance review experience preferred
Specialist, Clinical Operations
access_time Posted 4 days ago
account_balance MedPOINT Management
location_on Los Angeles
... review with other departments and lead & advise other departments in their continuous improvement efforts when pertaining to clinical review · Build and maintain relationships with UM and Claims ...
Clinical Pharmacist Supervisor
access_time Posted 23 days ago
account_balance Oscar Health
location_on Tempe
About the role The Clinical Pharmacist Supervisor will oversee the pharmacists performing clinical review of pharmacy authorizations and appeals to achieve overall performance objectives. You will ...
Clinical Supervisor- Telehealth
access_time Posted 6 days ago
account_balance Find Your Balance, Center for Growth & Change Inc
location_on Los Angeles
Review the accuracy of documentation and ensure clinicians meet all required deadlines and content requirements for billing * Trains, evaluates, and develops corrective action plans, and provides ...
Physician Reviewer - Neurologist - WA L&I
access_time Posted 13 days ago
account_balance Dane Street, LLC
location_on Bellevue
Video recording of approximately 15% of exams may be needed JOB SUMMARY Utilizes clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
RN Clinical Director - Home Care
access_time Posted 12 days ago
account_balance NurseCore
location_on Phoenix
Takes/Reviews/Converts home care referrals and works with office staff to ensure that cases are ... Conducts quarterly clinical reviews and PAG meetings as required by state regulations. * Conducts ...
Clinical Care Manager II (full-time)
access_time Posted 1 month ago
account_balance BPA Health Inc
location_on Boise
This full-time position is responsible for providing utilization review activities and clinical peer reviews for all levels of behavioral health care; clinical assessment, placement and continued ...
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