Senior Behavioral Health Utilization Review Clinician
Blue Shield of CA
Blue Shield of CA in Columbus, Ohio is looking for a Senior Behavioral Health Utilization Management Clinician to perform clinical reviews for mental health and substance use requests. This role involves ensuring compliance with guidelines and policies while supporting a high-performing team. The ideal candidate will have at least five years of relevant experience and possess a current CA license along with strong analytical and communication skills. The position supports a hybrid work model, requiring occasional in-office presence. #J-18808-Ljbffr Blue Shield of CA
- ...Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced... ...Health Utilization Management Clinician, Senior, will report to the Manager of Behavioral...SeniorFull timeContract workWork at office
- ...Medical Center in Columbus, Ohio, is seeking a qualified clinician for a position focusing on behavioral healthcare. The role involves comprehensive... ...and providing psychotherapy to patients facing mental health and substance use disorders. Candidates are required...Senior
- Wexner Medical Center is seeking a qualified mental health clinician to provide diagnostic evaluations and psychotherapy services at the Behavioral Health Urgent Care in Powell, Ohio. This role emphasizes the delivery of individualized treatment plans and crisis intervention...SeniorTemporary work
- The State of Ohio seeks a Clinical Review Nurse Supervisor within the Department of Medicaid... ...managing a significant hospital utilization contract and supervising staff to detect... ...license and have relevant experience in health services management. The role offers various...SeniorContract work
$44.09 - $78.7 per hour
...something new in health care. We are uniting... ...member of our Senior Community Care (SCC... ...Advanced Practice Clinician within SCC provides... ...both medical and behavioral, chronic and acute... ...initial medication review, annual medication... ...revisions as needed Utilizes practice...SeniorHourly payDaily paidMinimum wageFull timeWork experience placementLocal areaRelocation package- ...Responsibilities include conducting diagnostic evaluations and providing various psychotherapy services to individuals with mental health and substance use disorders. Candidates must possess a relevant Master's Degree and necessary licensure, with at least 1 year of related...Senior
$72k - $95k
Lifepoint Health® is seeking a Lead Therapist for Columbus Springs East, a behavioral health facility in Columbus, Ohio. The role requires a Master’s degree in social work or counseling and a current clinical license. Responsibilities include monitoring patient safety,...Senior- ...while submitting an application, please review frequently asked questions. Current... .... Job Title: Severe Mental Illness Behavioral Health Clinician 2- Care Management Department:... ...plans to reduce emergency department utilization and prevent readmissions. In partnership...Temporary workWork at officeShift workDay shift
- ...every requirement. About the role The Utilization Review Nurse is responsible for reviewing and... ...services requests for members of Quantum Health’s employer groups in an inpatient... ...clinical staff for transfer of cases for behavioral health management when appropriate....Work at office
- A leading healthcare solutions company seeks an LPN Case Manager to join its Utilization Management team in Columbus, OH. This role involves performing utilization review activities and conducting member visits to ensure they receive appropriate care while adhering to regulations...
$44.09 - $78.7 per hour
...Per Diem for Grant, Huntington, and Madison Counties, IN. This role involves delivering quality primary care, managing medical and behavioral conditions, and facilitating care coordination. Candidates must have a Master's in Nursing, board certification, and an active...SeniorHourly payDaily paidWork from homeRelocation package- ...Want to make an impact? I Am Boundless is hiring for a Behavioral Health Clinician ! Boundless is a non-profit organization specializing in assisting... ...receive regular, in depth clinical supervision and case review to ensure appropriate clinical training, support, and...Work at officeImmediate startFlexible hours
- ...Behavioral Health Clinician (LSW/LPC) - SMI Care Management Harding | Harding Social Work OSU Harding Hospital and East Hospital–Talbot... ...development of care plans to reduce emergency department utilization and prevent readmissions. In partnership with the OSU EPICENTER...Work at officeShift workDay shift
- Oak-Grove-Recovery in Westerville, Ohio is seeking a Lead Behavioral Health Technician to oversee patient engagement specialists and support individuals in recovery from substance abuse. Responsibilities include supervising staff, training new hires, and managing daily...Senior
- Humana Inc is seeking a Senior Provider Contracting Professional to initiate and negotiate behavioral health provider contracts for Medicaid and Medicare. This remote position requires managing provider relations and understanding financial impacts of contract terms. Ideal...SeniorRemote jobContract work
- The Ohio State University is seeking a Severe Mental Illness Behavioral Health Clinician 2 to provide intensive community and office-based care management for adults with serious mental illness. This position at Harding Hospital requires strong community engagement and...SeniorFull timeWork at officeDay shift
$71.1k - $97.8k
...our caring community The Utilization Management RN will collaborate with other health care givers in reviewing medical care and services.... ...About us About Conviva Senior Primary Care: Conviva Senior... ...addressing the social, emotional, behavioral and financial needs that...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeWeekend work- ...you have questions while submitting an application, please review these frequently asked questions. Current Employees And... ...Workday to use the internal application process. Job Title Behavioral Health Clinician 2 - Care Management - Talbot Department Harding | Harding...Temporary workShift workDay shift
$54.89k - $66.13k
Join to apply for the Behavioral Health Clinician - IRP 2 role at The Ohio State University Wexner Medical Center . Columbus, OH | $54,885.00-$6... ...you have questions while submitting an application, please review these frequently asked questions. #J-18808-Ljbffr The...Local area- ...the most comprehensive adult behavioral healthcare services in... ...emergency care, behavioral health urgent care, inpatient and outpatient... ...Health Care Management Clinician‑2 provides intensive office‑... ...reduce emergency department utilization and prevent readmissions. Collaborating...Work at office
$2,320.48 per week
Behavioral Health Registered Nurse in Columbus, OH LeaderStat is currently seeking a Behavioral... ...or veteran status. #AcuteTravelers Seniority level Entry level Employment type... ...Cancer Hospital for $2403.64 gross weekly Utilization Review Nurse - RN or LVN - Full Remote MICU...Weekly payFull timeContract workRemote workRelocation packageShift workDay shift- ...Columbus Springs East is part of Lifepoint Health, a diversified healthcare delivery... ...team including physicians, utilization review and nursing staff members Why join us... ...East Columbus Springs East is a 72-bed behavioral health hospital that has been offering...Full timeTemporary workPart time
- ...healthcare navigation organization in Dublin, OH is seeking a Utilization Review Nurse responsible for reviewing medical services requests for... ...position offers hybrid work flexibility, promoting quality and cost-effective care for members. #J-18808-Ljbffr Quantum Health
- A healthcare navigation organization is seeking a Utilization Review Nurse in Dublin, OH. The role involves reviewing inpatient medical service... ...proficiency in Microsoft Office programs. Join our mission to simplify healthcare for our members. #J-18808-Ljbffr Quantum HealthWork at office
$108.8k - $163.2k
...The Global Financial Lines Senior Claims Analyst - Allied Health Professional Liability... ...draft denials for management review Properly assesses the... ...initiatives, and utilize them appropriately and in... ...mindset of The Hartford's Behaviors: be courageous, break through...SeniorTemporary workWork at officeRemote work3 days per week- Wexner Medical Center in Columbus, Ohio is looking for an Advanced Practice Provider (APP) to deliver healthcare services in collaboration with licensed physicians. Responsibilities include managing acute and chronic conditions, educating patients and families, and providing...Senior
$10k
RN Supervisor, Nights, Behavioral Health, $10k Sign On page is loaded## RN... ...environment for adults and seniors with a variety of complex needs... ...with solutions as needed.* Review reports from other shifts... ...stability and independence, utilizing a passionate and highly-trained...Full timeRelocation packageFlexible hoursShift workNight shift- A healthcare review organization seeks a Physician Reviewer/Advisor in Delaware, Ohio. This role involves utilizing clinical expertise to review insurance appeals and claims while ensuring compliance with established guidelines. Responsibilities include thorough medical...Extra income
- A leading clinical research organization is seeking a Senior Physician to join their Patient Safety team. This role involves ensuring... ...during clinical trials and post-marketing by conducting medical reviews and providing pharmacovigilance guidance. The ideal candidate...SeniorRemote jobWork from home
$36.66 - $54.97 per hour
Ohio State University Physicians, Inc. is seeking a Senior Cardiovascular Sonographer to perform diagnostic cardiac examinations utilizing advanced ultrasound techniques. This role involves mentoring staff, maintaining equipment, and ensuring the highest level of patient...SeniorHourly pay
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