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- ...Cincinnati Children e s Hospital Medical Center is seeking a Remote Utilization Review professional to perform admission and continued stay reviews using InterQual, ensuring medical necessity and appropriate level of care. The role collaborates with Admitting, Financial...SuggestedRemote work
- ...meetings. Demonstrates deeper knowledge of behavioral health management skills. Primary... ...youth and families’ needs as identified. Utilizing culturally competent and trauma informed... ...CFCCP is provided to Aetna for quality review and initiating the authorization process...SuggestedFull timeRemote workShift 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,...SuggestedWork at officeWeekend workAfternoon shift
- ...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...SuggestedHourly paySummer workMonday to Friday
$17 per hour
...Residential Treatment Specialist - 2nd Shift Only Looking for a job... ...for a position with OneQuest Health! Full Time, Part Time or... ...childhood trauma with resulting behavioral health issues. The... ...up to 100 pounds in order to Utilize Safe Crisis Management Techniques...SuggestedHourly payFull timePart timeShift workWeekend workAfternoon shift$2,500 per month
...healthy and productive lives. Greater Cincinnati Behavioral Health Services (GCBHS) is recruiting for a full-time Employment Specialist at our Amelia office. This position... ..., social and work adjustment training utilizing behavior management techniques where appropriate...Full timeWork at officeFlexible hours$21.14 - $26.47 per hour
...pay (e.g., shift, on‑call, or weekend differentials) and benefits may apply. Annual pay may vary based on FTE status. Behavioral Health Specialist, Child Psychiatry Expected Starting Salary Range: $21.14 - $24.05 Location/Unit : College Hill – Child Department...Full timePart timeWork experience placementShift workRotating shiftAfternoon shift$21.14 - $26.47 per hour
...pay (e.g., shift, on‑call, or weekend differentials) and benefits may apply. Annual pay may vary based on FTE status. Behavioral Health Specialist, Psychiatry Float Pool PSRU Psychiatry Float Pool | College Hill Campus Schedule: Full and Part-Time; multiple...Full timePart timeWork experience placementShift workWeekend work- ## Specialist Clinical Coding IIApply: Hybrid: Remote Kentucky: Remote Indiana: Cincinnati,... ...re guided by our mission to improve the health of the communities we serve and by our values... ...cultural background.**Job Description:**Reviews inpatient or observation, same day...Full timeApprenticeshipRemote workFlexible hours
- ...seeking out a Vocational Specialist to join the Cincinnati team... ...education, or a closely related behavioral or mental health field from an accredited... ...Expectations: Utilizes IT systems and other software... ...information, please review the Know Your Rights notice...Full timeTemporary workPart timeWork at officeDay shift
- ...seeking an Order Management Specialist to join our team in... ..., inventory health, and reliable product... ...successfully, the incumbent’s behavior must be consistent with... ...management. Write, review, and maintain purchase... ...limited-time out of stock. Utilize data for replenishment...Seasonal workWork at officeShift work
$129k - $177k
...Trenchless Technology Specialist / Design Consultant will... ...and underground utility infrastructure projects... ..., including soil/rock behavior, groundwater conditions... ...that promotes employee health, performance, and success... ...information, please review the Know Your Rights notice...Temporary workFor contractorsRemote work- Benefits: 401(k) Employee discounts Health insurance Paid time off Training & development... ...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...Monday to FridayShift work
$17 - $18.15 per hour
...are searching for the next Patient Access Specialist champion. This is an exciting role... ...receiving, and processing physician orders, and utilizing an overlay tool while providing... ...forms implemented for future services. Reviews eligibility responses in insurance verification...Full timeWork at officeShift workNight shiftWeekend work- ...Lead Coding Specialist Join TriHealth as a Lead Coding Specialist! TriHealth is a leading, mission-driven health system committed to supporting coding professionals through a collaborative... ...Customer Service: advocates Always Behaviors and always demonstrates a high...Hourly payFull timeWork at officeWork from homeShift workDay shift
$21 - $32 per hour
...Position Title: Peer Recovery Specialist - Ohio Job Description: Work location... ...minimum of 2 years of experience in health services or behavioral health field or in a peer support... ...be screened under Florida law should review the education and awareness resources...Full timeTemporary workWork experience placementWork at officeLocal areaDay shift1 day per week$36.19k
...Community Care is seeking a full-time Mental Health Access Specialis t. This position REQUIRES a bachelor's degree in a behavioral health field of study AND current... ...Provide clinically appropriate treatment and utilize the most appropriate evidence-based practice...Full timeMonday to FridayFlexible hours- ...Environmental Health and Safety Manager AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across...Work experience placementWork at officeRemote workMonday to Friday
- ...highways, bridges, underground utilities, water/wastewater facilities... ...levels for the Safety Specialist.Responsible for providing field... ...Company and Client Safety and Health policies and procedures.... ...evaluations, inspections and/or behavioral observations throughout the...For contractorsFor subcontractorNight shift
$136.24k
...equipment costs for these take‐offs. Utilizes Timberline to prepare or assists in preparation... ...for future estimates. Receives, reviews and files pricings received from project... ...reporting for project sites. Works with Health & Safety professionals to identify Definable...Contract workWork experience placementFor subcontractorH1b$49k - $55k
...seeking highly qualified Intervention Specialists at Northside Preparatory Academy in Cincinnati... ...supports the educational and behavioral goals of all students with a focus on students... ...as state specific achievement goals.Utilize research-based best practices in daily...Temporary workWork at officeLocal area- ...Intervention SpecialistThe intervention specialist is responsible for all aspects of Special... ...making the expected progress; Develop behavior plans for students whose behavior interferes... ...; PR– 03 Manifestation Determination Review; Pr – 04 Referral for Evaluation; Pr – 0...
- ...team! Position: Intervention Specialist Location: Clermont County ESC... ...disabilities, and emotional/behavioral disorders; Excellent interpersonal... ...; Comprehensive health, dental, and vision benefits... ...Timeline: Applications will be reviewed on a rolling basis until positions...Summer workLocal area
- ...Harbor is seeking a Vocational Specialist to join the Cincinnati team! This position... ...management, education, or a closely related behavioral or mental health field from an accredited college or... ...laws.For further information, please review the Know Your Rights notice from the...Full timeWork at office
- ...Description Join TriHealth as a Coding Specialist I! At TriHealth , our Medical... ...patient care. In this position, you'll review provider documentation, assign correct ICD... ...TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no...Full timeDay shift
- ...Veterinary Technician Specialist (VTS) Anesthesia MedVet is a fast-growing Emergency and... ...a NAVTA; recognized academy required Utilize critical thinking skills Proficient in... ...opportunities ~ Comprehensive Health Benefits ~ Vision and Dental ~ HSA,...Temporary workLive outLocal areaShift work
$22.45 - $26.35 per hour
...revenue cycle management solutions for health systems, including hospitals and affiliated... ...in healthcare.The HR Onboarding Specialist is responsible for managing the onboarding... ...Acquisition, and hiring leadership teams.Review onboarding requirements for accuracy and...Temporary workLocal areaRemote work$69.39k - $88.61k
...Management- Perform admission and continued stay reviews on patients to determine the medical... ...and continued stay. This is done utilizing the approved medical management criteria... ...admissions. Interface with other members of the health-care team regarding the implementation...Work experience placementShift workWeekend work$13.5 - $15.25 per hour
...correctly dated and food safe Prepares fresh condiments for use utilizing correct foodservice dating procedures Turn on HTG Oven & HTG... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....Full timeMonday to FridayShift workDay shift- ...Assessment Specialist Flex OHC - Hamilton and Surrounding Counties Company: CareStar, Inc. Location: Hamilton, OH (and surrounding... ...recognized leader in long-term care case management and population health. With a mission to Improve Communities by Improving Lives, we...Remote workWork from homeFlexible hours
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