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
- ...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
$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...SuggestedFull timePart timeWork experience placementWork at officeShift workNight shiftWeekend workAfternoon shift- SUN Behavioral Health is seeking a Case Management Coordinator to oversee coordination of case management strategies from pre-hospitalization... ...assist with admissions authorization, perform retroactive reviews and appeals, and maintain essential documentation for insurance...Suggested
- 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
$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...SuggestedHourly payPart timeWork at officeNight shiftAfternoon 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- 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
$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...Full timeWork at officeLocal areaRemote workShift workNight shiftWeekend work- 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
- ...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 - $21 per hour
...Patient Access and Authorization Specialist Job Description NorthStar Behavioral Health is seeking an organized and professional Patient Access and Authorization... ...clinical documentation from providers. ~ Review medical documentation to support authorization...Hourly payFull timeSummer workMonday to Friday$17 per hour
...OneQuest Health Residential Treatment Specialist - 2nd SHIFT ONLY $1,000 retention bonus after 1 year of full... ...from childhood trauma with resulting behavioral health issues. The Residential... ...lift 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
- 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
- Front Office Specialist - Women's Health Job Description Make a meaningful impact by supporting patients... ...for check‑out functions, including review of encounter form data, collection of... ...TriHealth SERVE Standards and ALWAYS Behaviors Serve: ALWAYS... Welcome everyone by...Full timeWork at officeShift workDay shift
- SUN Behavioral Kentucky seeks an Utilization Management Specialist 1 in Erlanger, KY to coordinate case management from pre-admission through discharge and assist... ...teamwork while supporting performance improvement activities and clinical review #J-18808-Ljbffr SUN Kentucky
- Home Modification Specialist Company: CareStar, Inc. Location: Ohio... ...case management and population health. With a mission to Improve... ...Specialist, you will receive, review and process all requests for... ...Strong knowledge of Medicaid, behavioral health systems, and local community...Full timeWork at officeLocal areaRemote workWork from home
$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$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$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- ...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
$50k - $55k
...Behavior Intervention Specialist ACCEL Schools is seeking highly qualified Behavior Intervention Specialists at Riverside Academy in Cincinnati... ...You: Bachelor's degree in education, social work, health, or another related field preferred. Intervention Specialist...Temporary workWork at officeLocal areaDay shift$46.5k
...Intervention Specialist Monday–Friday | 7:30 AM–3:30 PM 10-Month... ...Best Point Education & Behavioral Health is seeking a dedicated and... ...appropriate classroom behaviors. Utilize individualized strategies... .... Participate in reviewing and adjusting treatment and...Temporary workWork at officeRelocation packageMonday to FridayFlexible hours- ...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
$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- ...Job Description Job Description 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...Part timeWork at office
- ...Beech Acres serves over 35,000 people annually through a wide range of services including foster care, kinship care, adoption, behavioral health support in schools, parent coaching and much more. All of our programs are founded in our Natural Strength Parenting™...Part timeWork experience placementWork at office
- Assessment Specialist - Hamilton & Surrounding Counties Company: CareStar, Inc. Location: Hamilton... ...care case management and population health. With a mission to Improve Communities... ...illness Strong knowledge of Medicaid, behavioral health systems, and local community resources...Full timeLocal areaRemote work
- ...re guided by our mission to improve the health of the communities we serve and by our values... ...internal mobility Job Summary: Conduct reviews of physician documentation to identify... ...clinical documentationCompetent utilization of EPIC, 3M Encompass/CDIS, MidasIdentify...Part timeFlexible hoursShift workDay shift
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