Tennessee Licensed Utilization Review ClinicianVirtualVocations • Newark, Delaware, United States
Tennessee Licensed Utilization Review Clinician
VirtualVocations • Newark, Delaware, United States
5 days ago
Job type
- Full-time
Job description
A company is looking for a Utilization Review Clinician - Behavioral Health.
Key Responsibilities
Evaluate member's treatment for mental health and substance abuse to ensure medical appropriateness
Perform prior authorization reviews for mental health and substance abuse services in accordance with regulatory guidelines
Analyze behavioral health member data to enhance service quality and appropriate utilization
Required Qualifications, Training, and Education
Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience
Current state licensure as a Registered Nurse or licensed clinician
Master's degree required for behavioral health clinicians
Preferred clinical knowledge in reviewing treatment plans for mental health and substance abuse
Experience working with healthcare teams in behavioral health services preferred
Create a job alert for this search
Utilization Review • Newark, Delaware, United States
Related jobs
The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals’ policies and procedures.Areas of pr...Show more
The Buxmont Urology Group Services Abington Lansdale Hospital and has two clinics.One near the hospital and the other in Plymouth Meeting.
The group is highly productive but like many groups it is f...Show more
We are a therapist-owned outpatient orthopedic practice with multiple locations in the Greater Philadelphia area, seeking a.
This leadership role comes with a.Our model is built around low patient v...Show more
Wayne Center Has a Unit Manager, RN Opportunity! $5,000 Sign-On Bonus Available!.At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care an...Show more
Long Term Acute Care RNs (LTAC RNs) provide quality patient care during the patient assessment, intervention, and evaluation process.
LTAC RNs collaborate with all members of a patient's healthc...Show more
Delta-T Group connects professionals with client opportunities within the special education, social service, behavioral health, and disability sectors.
With over 35 years in business, we have built ...Show more
The Mansion at Rosemont is looking for a Oncall / PRN "Certified Nursing Assistant - Wellness Clinic Assistant" to join our team in the Wellness Clinic! This role will ensure a smooth daily operation...Show more
Could you be our next Registration Scheduling Specialist at Lankenau Medical Center?.Position : Registration Scheduling Specialist.
Monday - Thursday : 9 : 45 AM - 6 : 15 PM and Friday : 6 : 45 AM - 3 : 15 PM....Show more
Long Term Acute Care RNs (LTAC RNs) provide quality patient care during the patient assessment, intervention, and evaluation process.
LTAC RNs collaborate with all members of a patient's healthcare ...Show more
This position requires an experienced behavioral health health professional with extensive experience in admissions within an acute inpatient psychiatric facility who will report to the VP of Admis...Show more
Wilmington W Chester Pike, Chadds Ford, Pennsylvania, 19317-9039, United States of America.DaVita is seeking a Clinical Coordinator who is looking to give life in an outpatient dialysis center.You ...Show more Swedesford Rd, Malvern, Pennsylvania, 19355-1456, United States of America.At DaVita, we find that our best leaders are those who create an inspiring vision for the future and empowers their team t...Show more Visit us online at : https : / / keystonecenter.Primary responsibilities include but are not limited to providing program management and clinical supervision / evaluation of all clinical staff; prioritizi...Show more 
At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service.
As a leading provider in the long-term care industry, we be...Show more Regional Director of Clinical Services - Behavioral Health Division.About Universal Health Services.One of the nation's largest and most respected providers of hospital and healthcare services, Uni...Show more 
Treating over 330,000 patients every year, the University of Maryland Medical Center is at the vital core of Maryland’s health care system and community.
We’re known for our prestigious ...Show more Long Term Acute Care RNs (LTAC RNs) provide quality patient care during the patient assessment, intervention, and evaluation process.
LTAC RNs collaborate with all members of a patient's healthc...Show more 
Are you are a conscientious, RN who is dedicated to providing exceptional care?.Our highly skilled staff can assist with many different facets of medical care.
We work with families and their loved ...Show more
RN
Fresenius Medical Care • Norristown, PA, US
Full-time
Last updated: 4 days ago • Promoted
Urologist - Jefferson Health - Montgomery County, PA
Jefferson Health • East Norriton, US
Full-time
Last updated: 30+ days ago • Promoted
Clinic Director - Outpatient Physical Therapist
Integrated Physical Therapy LLC • Exton, PA, US
Full-time
Last updated: 8 days ago • Promoted
Unit Manager, RN
Wayne Center • Wayne, PA, United States
Full-time
Last updated: 30+ days ago • Promoted
Local LTAC RN Job in Willingboro, New Jersey
Gifted Healthcare • Paulsboro, NJ, US
Full-time
Last updated: 9 days ago • Promoted
Licensed Clinical Therapist - Full-Schedule - Earn $6,000 / month!
Delta-T Group Inc. • Springfield, PA, US
Full-time
Last updated: 30+ days ago • Promoted
Wellness Clinic Assistant
Rosemont - a HumanGood community • Rosemont, PA, United States
Full-time +1
Last updated: 29 days ago • Promoted
Registration / Scheduling Specialist
Main Line Health • Wynnewood, PA, United States
Full-time +1
Last updated: 30+ days ago • Promoted
Travel LTAC RN in Willingboro, New Jersey
Gifted Healthcare • Paulsboro, NJ, United States
Full-time
Last updated: 10 days ago • Promoted
Regional Director - Intake Services
Universal Health Services, Inc. • King of Prussia, PA, United States
Full-time
Last updated: 30+ days ago • Promoted
Clinical Coordinator, RN
Davita Inc. • Chadds Ford, PA, United States
Full-time
Last updated: 30+ days ago • Promoted
Manager, Clinical Services
Davita Inc. • Malvern, PA, United States
Full-time
Last updated: 1 day ago • Promoted
Clinical Director Outpatient
Universal Health Services, Inc. • Brookhaven, PA, United States
Full-time
Last updated: 18 days ago • Promoted
Unit Manager, RN
Wallingford Nursing & Rehab • Wallingford, PA, United States
Full-time
Last updated: 30+ days ago • Promoted
Regional Director of Clinical Services
Universal Health Services, Inc. • King of Prussia, PA, United States
Full-time
Last updated: 17 days ago • Promoted
Behavioral Health Clinician, Inpatient, Part time
University of Maryland Medical System • Aberdeen, MD, US
Full-time
Last updated: 30+ days ago • Promoted
Travel LTAC RN Job in Willingboro, New Jersey
Gifted Healthcare • Paulsboro, NJ, US
Full-time
Last updated: 9 days ago • Promoted
RN
ChristianaCare • Middletown, DE, United States
Full-time
Last updated: 19 days ago • Promoted