Utilization Review Specialist - Behavioral Health
Maryhaven, Inc.
Maryhaven, Inc. in Columbus, OH is seeking an experienced Utilization Review Specialist to coordinate the design, development, implementation, and monitoring of the organization’s benefits and utilization review functions. You will supervise staff performing benefit enrollments and utilization management activities and act as the internal resource on optimal utilization of resources and services across the agency. #J-18808-Ljbffr Maryhaven, Inc.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Utilization Review Specialist - Behavioral Health in Columbus, OH vacancy
- Nationwide Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical necessity and guideline alignment. You will engage with hospital teams and third-party payors to secure quality care and proper payment. The...SuggestedRemote jobWork at officeWork from home
- Nationwide Children’s Hospital is seeking a Behavioral Health Utilization Review Specialist to review cases, determine medical necessity, and ensure compliance with guidelines. The role conducts pre-certifications, pre-authorizations, and retrospective reviews, collaborating...SuggestedRemote jobWork at officeWork from home
- ...Job Description Job Description Utilization Review Specialist Job Description Unique opportunity... ...Ohio’s largest and most comprehensive behavioral services provider specializing in addiction... ...in human service or behavioral health with two (2) years experience in the...Suggested
MARYHAVEN, INC.
Columbus, OH3 days ago - ...support our mission, the Health Research and Analytics... ...Violence Prevention Specialist to support our... ...supporting literature reviews and manuscript development... ...violence prevention, behavioral or social science, implementation... ...of all staff and full utilization of all qualified...SuggestedFull timeContract workWork at officeLocal areaRemote workFlexible hours
- ...Utilization Management Specialist At St. Vincent Family Services, it's our job to... ...activities. Monitors and reviews MCO portals to track authorization... ..., Social Work, Public Health, or related field.... ...management, medical billing, behavioral health administration, or...SuggestedWork at officeAfternoon shift
St. Vincent Family Services
Columbus, OH11 hours ago - ...the Mission and Guiding Behaviors; the Physician Coding Specialist IIwill assign the appropriate... ...to individual patient health information for data retrieval... ...(MCMG). This position utilizes advancedknowledge of... ...interdisciplinary care delivery system. Reviews and evaluates patient...Full timeWork experience placementWork at officeLocal areaShift work
Mount Carmel Health
Columbus, OH3 days ago - ...Health Information Management Specialist Established in 1984, Equitas Health is a regional... ...pharmacy, dental, behavioral health, HIV/STI prevention... ...relationship building; utilizing a computer for typing and... ...signed notary, have been reviewed, signed and dated....Temporary workWork at officeAfternoon shift
Equitas Health
Columbus, OH2 days ago - ...Job Description Job Description General Summary and Purpose The Qualified Behavioral Health Specialist means an individual who has received training for or education in either mental health or substance use disorder competencies; and who has demonstrated, prior...Work at officeMonday to Friday
Nex Level Behavioral Health & Addiction Services, LLC
Columbus, OH14 days ago - Columbus Springs East is seeking an Assessment Specialist, Behavioral Health for a part-time night shift in Columbus, OH. The role supports triage, assessments, and coordination with the clinical team to ensure appropriate referral and care. Applicants must hold an OH clinical...Part timeNight shift
$20.16 per hour
Nationwide Children’s Hospital is seeking a part-time Behavioral Health Support role for evening shifts. The position includes 3:00pm-11:30pm hours with every-other-Saturday/Sunday requirement, and 0.6 FTE (24 hours per week) with pay starting at $20.16/hour plus $1.80...Part timeWeekend workAfternoon shift- Columbus Springs East, part of Lifepoint Health, seeks an Assessment Specialist on a PRN basis to triage referrals, coordinate face-to-face assessments, and ensure patients receive timely behavioral health care. The role supports clinicians and integrates care across the...Relief
$25.89 - $34.96 per hour
Assessment Specialist, Behavioral Health Part-time, Night Shift (7pm-7am, 2 days/week) Your experience matters Columbus Springs East is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment...Hourly payFull timeTemporary workPart timeNight shift2 days per week- Integrated Services for Behavioral Health (ISBH) is seeking a CANS Assessment Associate to conduct comprehensive assessments for children and youth, coordinating with families and partners to connect them with appropriate services. The role requires Ohio CANS certification...Work from home
- Columbus Springs East is seeking a Discharge Coordinator in Behavioral Health to manage post-discharge care and ensure continuity of services for patients in our Columbus, OH facility. The role emphasizes collaboration with providers, therapists and the care team to arrange...
- Ohio State University’s East Hospital - Talbot Hall seeks a Behavioral Health Clinician IRP to deliver direct patient care within a comprehensive behavioral health program. The role focuses on substance dependence treatment, treatment planning, and coordinated care across...
- ...the Mission and Guiding Behaviors; the Physician Coding Specialist II will assign the appropriate... ...to individual patient health information for data... ...Group (MCMG). This position utilizes advanced knowledge of specialty... ...care delivery system. Reviews and evaluates patient...Remote jobFull timeWork experience placementWork at officeLocal areaShift work
- ...compassionate treatment to support the behavioral, physical and emotional health of children and families, where... ...program. The Village Network utilizes Collaborative Problem Solving along... ...Job Title: Behavioral Management Specialist - Respite/Transportation Reports...Permanent employmentFull timeTemporary workWork at officeShift work
The Village Network
Columbus, OH1 day ago $20.16 per hour
...Behavioral Health Nursing Position Hours: 3:00pm- 11:30pm, FTE: 0.8, 32 hours/week (every other Saturday & Sunday required). Rate:... ...communication and education. Provides trauma-informed care, utilizes positive reinforcement and operates within a therapeutic...Flexible hoursShift workWeekend workAfternoon shiftNationwide Children's Hospital
Columbus, OH2 days ago$54.68k - $63.73k
...Percentage: Up to 25%Job Shift: Day The Health Specialist coordinates and monitors health,... ...with Head Start Performance Standards by reviewing health records, coordinating screenings... ...exclusion procedures. Identifies and utilizes state and local resources for the health...Temporary workLocal areaShift workChild Development Council of Franklin County, Inc.
Columbus, OH11 hours ago$20.77 - $22.31 per hour
...looking for a Community Engagement Specialist in Columbus, Ohio to join our... ...neighbors for better health, empowering them to live longer... ...interactions. They will tirelessly utilize any means necessary to... ...and has been published in peer-reviewed literature. Today, Wider...Hourly payFlexible hoursWider Circle
Columbus, OH11 hours ago$25.81 - $38.72 per hour
...Title: Housing Outreach Specialist Job Description: Housing... ...and implementing the health plans housing strategy and programs... ...associates. Our values and behaviors are the root of our culture.... ...screened under Florida law should review the education and awareness...Full timeTemporary workWork experience placementWork at officeLocal area1 day per weekElevance Health
Columbus, OH3 days ago$18.13 - $21.78 per hour
...Established in 1984, Equitas Health is a regional not-for-profit... ...care, retail pharmacy, dental, behavioral health, HIV/STI prevention,... ...Summary The Prior Authorization Specialist handles all prior... ...further information, please review the Know Your Rights notice from...Hourly payWork at officeFlexible hoursWeekend workAfternoon shiftEquitas Health
Columbus, OH1 day ago$27.02 per hour
...job will deliver value to the Health Plan, and its beneficiaries... ...Audits by performing first coding review and ranking of charts. Build... ...(CRC) Certified Coding Specialist (CCS) Registered Health Information... ...and legal standards and behavioral expectations as set forth in...For contractorsWork at officeLocal areaRemote workFlexible hoursHighmark Health
Columbus, OH2 days ago- ...Guided by our mission to make the world's health data secure, accessible and actionable,... ...computer proficiency. Comfortable utilizing phones, fax machine, printers, and other... ...exempted from these requirements will be reviewed by Datavant Human Resources and determined...Full timeWork experience placementWork at officeRemote workMonday to Friday
Datavant
Columbus, OH4 days ago $80.9k - $103.95k
...Assurance contributes to Cardinal Health Quality develops and... ...products and services are properly reviewed for quality and documented.... ...Microbiology Principal Specialist to join our Quality team supporting... ...assessments System Utilization: Utilize manufacturing and quality...Temporary workWork at officeLocal areaImmediate startFlexible hours$20.16 per hour
...differential for evenings and $1.80 for weekends. Floats to other Behavioral Health nursing units as needed. Job Description Summary Performs... ...communication and education. Delivers trauma‑informed care, utilizes positive reinforcement, and operates within a therapeutic...Flexible hoursShift workWeekend workAfternoon shift- ...PTO for full time employees 6 paid holidays for full time employees Flexible spending and health savings accounts 7pm-7am Columbus Springs Dublin , part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities...Full timeFlexible hoursNight shift
- Columbus Springs Dublin, part of Lifepoint Health, is hiring an Assessment Specialist to join our behavioral health team. You will manage initial assessments, determine care levels, and coordinate referrals while delivering compassionate, compliant patient care. The role...Full time
- OhioGuidestone in Union County is seeking a Behavioral Health Specialist who provides case management for children and families with mental health and substance use diagnoses, across telehealth, outpatient offices, and community settings. You will collaborate with the...
- ...training program. The Village Network utilizes Collaborative Problem Solving along... ..., and Qualifications Job Title: Behavioral Management Specialist Schedule: PRN - As needed Reports To... ...Provides individual and/or group mental health services as appropriate to the child...Part timeReliefWork at officeAll shiftsShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Review Specialist - Behavioral Health. Be the first to apply!
Related searches
- configuration specialist Columbus, OH
- localization specialist Columbus, OH
- intervention specialist Columbus, OH
- investigations specialist Columbus, OH
- ecommerce specialist Columbus, OH
- workforce management specialist Columbus, OH
- community health promotion specialist Columbus, OH
- title specialist Columbus, OH
- infectious disease specialist Columbus, OH
- credit specialist Columbus, OH