MSW Utilization Review Clinician - Mental Health
Heritage Oaks Hospital
Heritage Oaks Hospital, part of the UHS family, seeks an Utilization Review Clinician to manage and optimize resource utilization across levels of care. You will coordinate with payors, the business office, and treatment teams to ensure appropriate care and reimbursement. The role requires a Master’s in social work, MSW licensure, and experience with prior authorizations or case management. Handle with Care training and CPR are required within 30 days of employment. #J-18808-Ljbffr Heritage Oaks Hospital
- ...greater Sacramento and Northern California mental health system since 1988. Conveniently... ...their health and recovery. Website: The Utilization Review Clinician is responsible for the managing,... ...Management is preferred. Licensure: MSW degree Additional Requirements: Trained...SuggestedFull timeWork at officeLocal area
$27.02 - $48.55 per hour
Position Purpose: Performs reviews of member's care and health status of Applied... ...quality and appropriate utilization of services Interacts with... ...degree for behavioral health clinicians required. Behavioral health... ...or LMHC-Licensed Mental Health Counselor required...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hours$3,086 - $3,181 per week
...Registered Nurse (RN) | Utilization Review Location: Carmichael, CA Agency: GQR Healthcare Pay: $3,086 to $3,181 per week... ...hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and...SuggestedHourly payWeekly payFull timeContract workTemporary workImmediate startShift work- Centene Corporation in the United States is seeking a Nursing/Behavioral Health reviewer to assess ABA services for medical appropriateness across care episodes. You will monitor clinical effectiveness and work with BH providers to discuss level of care. Qualified candidates...SuggestedRemote jobFlexible hours
$54 - $66 per hour
...We are recruiting for a Utilization Review Nurse to join a large healthcare organization within the Sacramento region. The Utilization Review... ..., or management responsibilities and experience working with health plan auditors. Pay range: $54-$66/hour DOE Hybrid License Required...SuggestedContract workWork at office$50 - $55 per hour
...Remote Utilization Review RN | CA RN License Required - -Must sit in CA Were seeking an experienced Utilization Review RN for a remote MondayFriday... ...the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee...Contract workTemporary workRemote work- ...programs including, but not limited to: administrative functions, utilization review, assessment, discharge planning, group/individual therapy,... ...or university, in Social Work or a clinical related mental health field. Experience:Requires a minimum of two (2) years’ experience...Part time
- # Utilization Review NurseFully Remote • Involuntary Remote - ALL STATES - Remote All States, CA... ...safety issues* Promote cost-effective health care with an aligned health provider network... ...* Paid Time Off.* Referral bonus.Mental and Physical Requirements: [see separate...Remote workLong distance
- Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services... ...difference in the lives of our members. SUMMARY: The Utilization Management Authorization Review Nurse is responsible for managing inpatient &...
$80k - $90k
...first 25 applicants This range is provided by Astiva Health, Inc. Your actual pay will be based on your skills... ...difference in the lives of our members. SUMMARY: The Utilization Management Pre-Service (Outpatient) Review Nurse is responsible for managing inpatient &...Full time- Licensed Vocational Nurse /LVN - Utilization Review (HEDIS Abstractor) HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading... ...most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals...Private practiceWork at officeMonday to Friday
- TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers’ compensation utilization review—prospective, concurrent, expedited, and retrospective reviews—to determine medical necessity and appropriateness...Remote job
- Astiva Health, Inc. in Orange, CA seeks an experienced Utilization Management Authorization Review Nurse to manage inpatient and outpatient utilization. You will review clinical documentation, apply CMS and health plan guidelines, and issue denials, deferrals, or authorizations...
- Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. You will assist patients through the continuum of care in collaboration with the patient’s primary care physician, facility case manager, discharge planner and contracted...Remote job
- ...VACANCY IS IN THE SHASTA COUNTY HEALTH AND HUMAN SERVICES AGENCY... ...The frail, the abused, the mentally ill, and those without resources... ...chart auditing, service utilization review, medication monitoring, maintaining... ...as assigned. Mental Health Clinician II applicants should have...Hourly payContract workWork at officeLocal area
- ...Summary: The Mental Health Clinician is responsible for delivering mental health, substance abuse,... ...symptoms.Diagnosis and Treatment Planning: Utilize diagnostic criteria to identify... ...distress.Progress Monitoring: Regularly review and assess clients' progress towards treatment...Work experience placementInternshipWork at office
- ...addressing issues like housing, mental health, and substance use. If you... ...emergency Mental Health Clinician I vacancies related to the homelessness... ...multi-disciplinary team to review client cases, treatment... ...on an emergency basis and utilizes crisis intervention and...Permanent employmentInternshipLocal areaTrial period
$1,500 per month
...competent, flexible, effective, quality mental health services, including psycho therapeutic interventions... ...team and external organizations Utilizes Evidence Based Practices whenever... ...Participates in utilization, accreditation, peer review process as assigned Responsible for...Contract workHome officeFlexible hours$1,500 per month
...Psychology, or Counseling; Clinician I: Associate Social Worker (... ...flexible, effective, quality mental health services, including... ...and external organizations Utilizes Evidence Based Practices whenever... ...utilization, accreditation, peer review process as assigned...Contract workFor contractorsHome officeFlexible hours- MENTAL HEALTH CLINICIAN I - STIPEND (NON-COMPETITIVE) WHEN TO APPLY: We will be accepting online applications... ...in multi-disciplinary team to review client cases, treatment approaches,... ...intervention services on an emergency basis and utilizes crisis intervention and community...Second jobLocal areaTrial periodShift workNight shiftWeekend workAfternoon shift
$54 - $66 per hour
A prominent healthcare staffing agency is seeking a Utilization Review Nurse in Sacramento, CA, responsible for managing the daily operations of the UM Pre-Authorization team. The ideal candidate will ensure accurate processing of referral requests, maintain regulatory...$62.4k - $72.8k
...,400 - $72,800 a year As a Clinician I, you will be responsible for... ...individuals to provide mental health services under the proper supervision... ..., and psychoeducation, utilizing evidence-based interventions... ...shall include a systematic review of the quality, safety, and...Shift workDay shiftAfternoon shift- ...seeking Lead Licensed Clinician for the Outpatient Department... ...in the behavioral health setting and have the... ..., treatment planning/review, crisis intervention,... ...appointments, conducting utilization reviews, and... ...university in social work, mental health or a related field...
$30.37 - $59.21 per hour
RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req) CA, United States and 5 more Trending Job Description JOB DESCRIPTION... ...teams to promote the Molina care model. Adheres to utilization management (UM) policies and procedures. Required Qualifications...Remote jobHourly payFull timeWork experience placementWork at office$34.5 - $38.7 per hour
On-Call Social Worker Clinician - Mental Health 612 Job Category : Direct Care Requisition Number : ONCAL... ...interview. Master's in social work, MSW, ASW, Associate Clinical Social Worker... ...laws.For further information, please review the Know Your Rights notice from the...Full timePart timeRelocation packageAll shiftsShift work$122.28k - $158.97k
...Crisis Receiving for Behavioral Health (CRBH) Department: CRISIS... ...Health System, WellSpace utilizes a Confluence Model to integrate... ..., Drug Medi-Cal and Specialty Mental Health programs, California's... ...including annual leave, annual review, disciplinary action, etc....Extra incomeFull timeLocal areaFlexible hoursShift workWeekend work$80 per hour
...About Rula Rula is a comprehensive behavioral health solution that works with a network of licensed clinicians to deliver high-quality care to individuals, couples... ...Clinical Social Worker (LICSW) or Licensed Mental Health Counselor (LMHC) Valid NPI Must be licensed...Hourly payFor contractorsPrivate practiceWork at officeRemote workFlexible hours- ...greater Sacramento and Northern California mental health system since 1988. Conveniently located... ...is carried out properly. The RN utilizes the nursing process and adheres to established... ...pre-approved admissions criteria.Reviews referrals and determines appropriateness...Daily paidLocal areaFlexible hours
$36.06 per hour
...planning and coordination of the clinical activities pertaining to mental health services for clients and their families. Interview clients... ...listed below. ESSENTIAL JOB FUNCTIONS Provide face to face review of ASAM based assessments and reassessments to determine diagnosis...Hourly payFull timeWork at officeLocal area$71.76k - $80.49k
...Client from Telecare What You Will Do to Change Lives The Clinician Unlicensed provides mental health support services to members served and their families... ...employment laws.For further information, please review the Know Your Rights notice from the Department of Labor...Hourly payFull timePart timeWork at officeTrial periodRelocation packageMonday to FridayShift workNight shiftWeekend work
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