Behavioral Health Utilization Review Specialist
Memorial Physician Practices
Mesa Springs in Fort Worth, TX is seeking a dedicated Utilization Review Specialist to ensure appropriate inpatient and outpatient authorizations, accuracy in denials and certifications, and effective communication with physicians and care teams. You will apply clinical criteria, coordinate with managed care organizations, complete pre- and post-certifications, and help the treatment team understand coverage. #J-18808-Ljbffr
- ...matters Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery... ...exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a... ...about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional...SuggestedTemporary workPart timeRelief
- FHE Health in Florida seeks an experienced UR Specialist who will manage clinical authorization processes with insurance... .... You will support access to behavioral health treatment and maximize... ...related field and 2-3 years of utilization review experience in behavioral health...SuggestedDaily paid
$45k - $55k
...Compass Careers That Change Lives Compass Health Center is a recognized leader in... ...care through an intermediate level of behavioral healthcare. Beyond our genuine desire... ...position, clickhere . Back to jobs Utilization Review Specialist Remote Weekly outpatient therapy isn'...SuggestedWork at officeRemote work- ...Compass Health Center is seeking a Remote Utilization Review Specialist to obtain insurance authorization for patients receiving Behavioral Health treatment at high levels of care. The UR Specialist serves as a liaison between the clinical team and insurers, helping patients...SuggestedRemote work
$110k
...Summary Comprehensively plans with the health care team to ensure patient needs are met... ...time frame and with the most efficient utilization of resources. Carries out activities related... ...documentation for justification. Reviews the patient’s plan of care in conjunction...SuggestedDaily paidFull timePart timeFlexible hoursShift work- Sentara Health Plans Community Care in Norfolk, VA seeks an Utilization Review Nurse to manage utilization management within licensure. You will handle prior authorization, retrospective review, and pre-certification while coordinating care and communicating decisions...
$18.13 - $29.9 per hour
...Director (Partial) and Unit Charge RN, the Behavioral Health Specialist I (BHS I) is responsible for... ...policies and procedures. Attends peer review and staff meetings as assigned. Maintains... ...in a safe, effective manner, utilizing the least restrictive, safe patient care...Immediate startShift workWeekend workAfternoon shift$22.84 - $31.97 per hour
Mental Health Specialist, Brockton Behavioral Health, 8 Hours (Weekends)Boston Medical CenterBrockton, MA, United... ...status for past several shifts. Reviews and implements treatment plan/... ...issues from peers and nurse manager and utilizes the feedback to improve practice...Fixed term contractFlexible hoursShift workWeekend workDay shiftEarly shift- ...Responsibilities Hartgrove Behavioral Health System meets the needs of our patients, their families... ...SU Job Summary: The Behavioral Health Specialist provides direct patient care under the... ...and adults. Prior experience with utilizing crisis intervention verbal and...InternshipLocal areaShift workNight shiftWeekend workAfternoon shift
$57 - $65 per hour
...an accommodation or an alternative application process. Behavioral Health Specialist: Part-Time/Evening Hours ** Professional Lake Forest, CA,... ...participation in the health center’s quality assurance and peer-review programs. Cooperate in investigations, patient grievances...Hourly payPart timeWork at officeLocal areaImmediate startMonday to FridayFlexible hoursWeekend workAfternoon shift- Red Oak Recovery Center is seeking a Utilization Review Coordinator to ensure medical necessity, regulatory compliance, and efficient resource use across patient care. You will review medical records and treatment plans, coordinate with providers, insurers, and case managers...Remote job
- CHOC Children's in Orange, CA is seeking a Utilization Review Representative to review inpatient and outpatient statuses and process authorization requests with payors in collaboration with RN Care Managers. This role ensures accurate data, insurance verification, and...
$19.97 - $32.96 per hour
...Inpatient)/Program Director (Partial) and Unit Charge RN, the Behavioral Health Specialist II (BHS II) is responsible for providing care and safety... ...delivery of sophisticated childcare as able. Consistently utilizes safe, effective, crisis management techniques....Immediate startShift work- UnitedHealth Group seeks a Clinical Wellbeing Specialist to provide telephonic behavioral health support, risk assessment, and short-term problem resolution... ...care with providers, document case notes, and utilize Solution Focused Consultation to develop action plans...Remote jobTemporary workFlexible hours
- Behavioral Health Specialist MRSS Fairfield County Full Time 8am-8pm You have a place atOhioGuidestone, the state's leader in behavioral health!OhioGuidestoneis... ...federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor....Full timeTemporary workInternshipWork at officeWork from homeFlexible hours
$25.46 - $31.86 per hour
...Overview Behavioral Health Associates assist social services teams to provide supportive counseling, advocacy, and education to... ...Participates in related VNS Home Care activities, e.g., utilization review, staff meetings, education programs, etc. Assumes responsibility...Temporary workWork experience placementFlexible hours$24 - $26 per hour
...towards sustainable mental wellness? As a Behavioral Health Associate , you will work... ...Health Associate role. Responsibilities Utilize de-escalation techniques and crisis management... ...with their daily needs and activities. Review and apply treatment team strategies daily...Hourly payTemporary workShift workNight shift$78k
...first year to high quality, affordable health coverage and opportunities to grow, we’... ...Access Services is hiring a PA Licensed Behavior Specialist to develop treatment plans and... ...Workin a standard office environment; Utilize desktop computer equipmenton a daily basis...Hourly payFull timeWork at office- ...knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to... ...Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of...Work experience placement
- ...UnitedHealth Group seeks a Clinical Wellbeing Specialist to provide telephonic and chat-based behavioral health support. The role conducts risk assessments, coordinates care, and connects members to benefits and resources, while maintaining records and collaborating with...Remote workFlexible hours
- ...UnitedHealth Group seeks a Clinical Wellbeing Specialist to provide telephonic and chat-based behavioral health support. The role conducts risk assessments, coordinates care, and connects members to benefits and resources, while maintaining records and collaborating with...Remote workFlexible hours
- ...Hartgrove Behavioral Health System is seeking a Behavioral Health Specialist to provide direct patient care under RN supervision in a safe, therapeutic environment. The role includes crisis intervention, monitoring patient safety, and assisting with daily living activities...Night shiftAfternoon shift
$54.1k - $129.62k
...Title Behavioral Health Specialist - LCSW Only Company Oak Street Health Role Description The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care management services and to provide evidence-based short-term psychotherapy to our patients with...Hourly payFull timeTemporary workLocal areaRemote work- ...Centerstone is seeking a School Based Support Specialist to deliver individualized behavioral health interventions in school settings. The role emphasizes collaboration with students, families, schools, and community partners to promote recovery and resilience. The position...
$66.3k - $70k
...Behavioral Intervention Specialist Type of Position Full time Search Location(s)... ...to assure that the mental health and behavioral needs of the... ...data collection methods and reviews data at least monthly.... ...support plans or services which utilize restrictive/intrusive...Full timeWork at officeFlexible hoursShift workNight shift- ...Reports To: Director of Health and Safety Essential Duties and Responsibilities... ..., oral health, and WIC. Review, replenish, and monitor... .... Willingness to learn and utilize new technologies. Commitment... ...Childhood, Special Education, or in Behavioral Services from an accredited...Full timeTemporary workPart timeWork at office
$64.35k
...Behavior Intervention Specialist Under supervision of BIS leadership, Behavior Intervention... ...from multiple sources and utilizes findings to conduct... ...meetings and case reviews, including scheduled Person... ...and registration in Mental Health Counseling issued by the New...Full timeReliefMonday to FridayFlexible hoursAfternoon shift$24 - $24.25 per hour
...access for all. At Vivent Health, we’re building a... ...together medical care, behavioral health, pharmacy, research... ...Expectations. The Specialist, Prevention is responsible... ...and activities utilizing established internal data... ...Please follow this URL to review one such program and...Hourly payFull timePart timeWork experience placementWork at officeLocal area$54k - $60k
...dedicated and proactive Behavior Intervention Specialists (BIS) to support our In-Home... ...in the Life Plan utilizing evidence-based strategies... ...Our benefits go beyond health and retirement. You will be... ...further information, please review the Know Your Rights notice...Full timeTemporary workWork experience placementWork at officeImmediate startFlexible hoursWeekend workAfternoon shift$60k
...The Harm Reduction Specialist provides engagement and... ...and alcohol use, sexual health and self-harm, using a... ...individuals engaging in risky behaviors. In addition, the Harm... ..., including reviewing service plans with program... ...and safety hazards, utilizing individualized strategies...Local areaFlexible hoursWeekend workAfternoon shift
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