Behavioral Health Utilization Review Specialist
New Vista Behavioral Health
New Vista Behavioral Health is seeking a detail-oriented Corporate Utilization Review Specialist to support utilization review and insurance authorization processes across multiple behavioral health facilities. Candidates must hold an active clinical license as an RN or LCSW, LPC, or LSW/LCSW. The role coordinates authorizations, reviews medical necessity, and ensures compliant, timely reimbursement for behavioral health services. #J-18808-Ljbffr New Vista Behavioral Health
- ...meetings. Demonstrates deeper knowledge of behavioral health management skills. Primary Location... ...youth and families’ needs as identified. Utilizing culturally competent and trauma... ...CFCCP is provided to Aetna for quality review and initiating the authorization process...SuggestedFull timeWork at officeRemote workShift work
- ...Behavioral Health Specialist Location/Unit: Liberty Emergency Department Shift/Hours/FTE: Nights - 20 hrs weekly - 0.5 FTE Benefits Eligibility... ...management across all physical locations. Manages milieu utilizing the following components-structure, safety, planning,...SuggestedPart timeWork experience placementShift workNight shift
$21.14 - $26.47 per hour
...school, community events, etc. Therapeutic Behavioral Services (TBS) provide services to... ...Services address the individualized mental health needs of the client which vary in hours,... ...may have on the patient and family. Utilizes Situation Awareness concepts as appropriate...SuggestedFull timeShift workWeekend work$17 - $18.15 per hour
...cycle management solutions for health systems, including hospitals... ...for the next Patient Access Specialist champion. This is an exciting... ...physician orders, and utilizing an overlay tool while providing... ...implemented for future services. Reviews eligibility responses in...SuggestedFull timeWork at officeLocal areaRemote workShift workNight shiftWeekend work- Cincinnati Children’s is seeking a Therapeutic Behavioral Services (TBS) provider to deliver community-based mental health support for children and adolescents. You will meet clients in homes, schools, and community settings, coordinating with the psychiatry team and other...SuggestedDay shift
- Cincinnati Children’s Hospital Medical Center is seeking a Behavioral Health Specialist for the Burnet Emergency Department to support patients in acute psychiatric or behavioral crisis within a fast-paced ED setting. You will collaborate with nurses, providers, social...Night shift
$21.14 - $26.47 per hour
...Responsibilities Implementing a token economy to reinforce positive behaviors, promote skill-building, and support progress toward discharge... ...Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring...Full timePart timeWork experience placementWork at officeShift workNight shiftWeekend workAfternoon shift- Child Life Specialist for Behavioral Safety Team Join to apply for the Child Life Specialist for Behavioral Safety Team role at Cincinnati Children... ...including the clinical directors, psychologists, behavior health facilitators, behavior health consultants, and intake...Full timeInternshipRelocation packageMonday to FridayShift workWeekend work1 day per week
$21 - $24.05 per hour
...Emergency Department Shift Night (United States of America) Schedule Full time Weekly Hours 36 FTE 0.9 Employee Status Regular Behavioral Health Specialist - Burnet Emergency Department (ED) Expected Starting Salary Range: $21.00 - $24.05 Location/Unit Burnet Emergency...Full timeShift workNight shift$24 - $32 per hour
...Location: 10123 Alliance Road, Cincinnati, Ohio 45242 Job Summary New Vista Behavioral Health is seeking a detail-oriented and clinically experienced Corporate Utilization Review Specialist to support utilization review and insurance authorization processes across multiple...Full timeWork at office$21.14 - $26.47 per hour
...week, and a 1.0 FTE with a starting pay range of $21.14 to $26.47 per hour, based on experience. The job emphasizes implementing behavioral plans, direct patient care, and teamwork. High school diploma required with 2-5 years of related experience; bachelor’s degree preferred...Hourly payPart timeWork at officeNight shiftAfternoon shift- Central Clinic Behavioral Health in Cincinnati, OH is seeking a Triage Clinician for the Second Shift to support the Central Connection program. This full-time role focuses on clinical assessment, level-of-care determinations, and coordinating discharge planning within...Full timeAfternoon shift
$17 - $18.15 per hour
...Patient Access Specialist Ensemble is a leading provider of technology... ...management solutions for health systems, including hospitals... ...processing physician orders, and utilizing an overlay tool while... ...implemented for future services. Reviews eligibility responses in...Full timeWork at officeLocal areaRemote workShift workWeekend work- ...Position Overview The Licensed Mental Health & Community Development Specialist is a dual-role position designed to... ...quality improvement efforts. Review progress notes Community... ...treatment planning. Strong knowledge of behavioral health systems, DSM-5 diagnoses,...Work at officeWeekend workAfternoon shift
- An established industry player is looking for a Therapeutic Behavioral Specialist to enhance the quality of life for residents in long-term care... ...with a multidisciplinary team to address a range of mental health issues. The ideal candidate will have a Master's degree in...
$17 per hour
...Residential Treatment Specialist - 2nd Shift Only Looking for a job... ...for a position with OneQuest Health! Full Time, Part Time or Weekends... ...trauma with resulting behavioral health issues. The Residential... ...up to 100 pounds in order to Utilize Safe Crisis Management Techniques...Hourly payFull timePart timeShift workWeekend workAfternoon shift- ...highest ethical standards for the following position: ~ Utilities & Facilities CAD Specialist Job Summary We are seeking a skilled Utilities... ...~ Strong proficiency in AutoCAD, including creating, reviewing, and updating technical drawings. ~ Experience in...Local areaRelocation
$18.65 - $19.9 per hour
...Senior Patient Access Specialist Ensemble is a leading provider of... ...cycle management solutions for health systems, including hospitals... ...physician orders, and utilizing a overlay tool while providing... ...implemented for future services. Reviews eligibility responses in...Work at officeLocal areaRemote work- Job Details Job Location: SUN Behavioral Kentucky - Erlanger, KY 41018... ...Shift: Days Job Category: Health Care Position Summary Responsible... .... Processes retroactive reviews and appeals, copies needed documentation... ...discharge planning and utilization review when necessary Perform...Work at officeLocal areaShift work
$21.42 - $32.14 per hour
...as required by law. The Peer Recovery Specialist - Ohio is responsible for care... ...minimum of 2 years of experience in health services or behavioral health field or in a peer support services... ...be screened under Florida law should review the education and awareness resources...Full timeTemporary workWork experience placementWork at officeLocal area1 day per week$46.5k - $50.65k
...alternative application process. Intervention Specialist 26-27 School Year Full Time Best... ...working with students with behavioral and mental health challenges preferred Valid driver’s... ...Ohio Department of Education standards Utilize assessment data to inform instructional...Full timeWork at officeRelocation packageMonday to Friday- Patient Access and Authorization Specialist Job Description NorthStar Behavioral Health is seeking an organized and professional Patient Access and Authorization... ...required clinical documentation from providers. Review medical documentation to support authorization requests...Summer work
- ...seeking out a Vocational Specialist to join the Cincinnati team... ...education, or a closely related behavioral or mental health field from an accredited... ...Performance Expectations: Utilizes IT systems and other... ...further information, please review the Know Your Rights notice...Full timeTemporary workPart timeWork at officeDay shift
- ...Order Management Specialist Mastronardi Produce pioneered... ..., inventory health, and reliable product... ...successfully, the incumbent's behavior must be consistent... ...management. Write, review, and maintain purchase... ...time out of stock. Utilize data for replenishment...Seasonal workWork at officeShift work
- ...Benefits: 401(k) Employee discounts Health insurance Paid time off Training &... ...and dedicated Qualified Mental Health Specialist (QMHS) to join our growing team. Our S.A... ...addiction, and a variety of mental and behavioral health challenges. Services are comprehensive...Monday to FridayShift work
$46.5k
...DayBest Point Education & Behavioral Health is seeking a dedicated and... ...student-centered Intervention Specialist to join our educational... ...appropriate classroom behaviors.Utilize individualized strategies... ...instructional decisions.Participate in reviewing and adjusting treatment and...Work at officeRelocation package- ...Family Visitation Specialist (Part-Time) Best Point Education & Behavioral Health – Cincinnati, OH Part-Time | Wednesday & Saturday Hours | Meaningful Work with Children & Families Best Point Education & Behavioral Health is seeking a compassionate and dependable...Part timeWork at office
$105.4k - $207.8k
...implementing trust and safety, compliance, or content moderation policies and proceduresExperience conducting risk assessments or compliance reviews for digital platforms or online servicesExperience interpreting or applying regulatory requirements such as General Data Protection...Local areaVisa sponsorship$88.6k - $147.6k
...are not limited to: infographics, presentations, proposals, etc.Review solicitation requirements, style guides, and submission instructions... ...accuracy and timely completion of tasks. The Team Our Federal Health team is a collaborative group of professionals dedicated to...Shift work- ...Patient Access Specialist I Want a job where you can help patients and their families?... ...be proud of. When you join BrightView Health, you become part of a collaborative culture... ...intake and scheduling procedures. Review all scheduling daily. Communicate scheduling...Temporary workImmediate start
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