Hawaii Licensed Utilization Review ClinicianVirtualVocations • North Hollywood, California, United States
Hawaii Licensed Utilization Review Clinician
VirtualVocations • North Hollywood, California, United States
2 days ago
Job type
- Full-time
Job description
A company is looking for a Utilization Review Clinician - Behavioral Health.
Key Responsibilities
Evaluates treatment for mental health and substance abuse to ensure medical appropriateness
Performs prior authorization reviews and concurrent reviews of behavioral health inpatient services
Provides education to providers and families regarding behavioral health utilization processes
Required Qualifications, Training, and Education
Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience
Master's degree for behavioral health clinicians is required
Current state licensure as a Registered Nurse or other specified behavioral health licenses
Clinical knowledge related to mental health and substance abuse treatment plans preferred
Experience with utilization review processes and working with healthcare teams preferred
Create a job alert for this search
Utilization Review • North Hollywood, California, United States
Related jobs A company is looking for a RN Clinical Program Manager.Key Responsibilities Lead the alignment, standardization, and improvement of patient length of stay for designated populations Serve as a l...Show more A company is looking for a Licensed Clinical Therapist (LCSW / LMHC / LMFT) for an Adult Intensive Outpatient Virtual Group.
Key Responsibilities Provide virtual IOP remote group coverage via video co...Show more A company is looking for a Licensed Clinical Therapist for Telehealth services focused on adult intensive outpatient programs.
Key Responsibilities Provide virtual IOP coverage via video conferenc...Show more A company is looking for an RN Clinical Program Manager for a full-time remote position.Key Responsibilities Lead the alignment and improvement of patient length of stay for designated population...Show more A company is looking for a Care Review Clinician (RN).Key Responsibilities Assesses services for members to ensure optimum outcomes and compliance with regulations Analyzes clinical service requ...Show more A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluates treatment for mental health and substance abuse to ensure medical appropriateness Perfo...Show more A company is looking for a Utilization Nurse Reviewer (Remote).Key Responsibilities Conduct timely clinical chart reviews and communicate effectively with third-party payers Review admission ser...Show more A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members Gather clinical...Show more A company is looking for an RN Utilization Review.Key Responsibilities Perform clinical assessments and evaluate injured employees' treatment utilization and compliance Collaborate with healthca...Show more A company is looking for a Care Review Clinician (RN) for Prior Authorization.Key Responsibilities Assess services for members to ensure optimum outcomes and compliance with regulations Analyze ...Show more A company is looking for a Care Review Clinician (LVN / LPN).Key Responsibilities Assess services for members to ensure optimum outcomes and compliance with regulations Analyze clinical service ...Show more 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 appropriatenes...Show more A company is looking for a Utilization Management RN Reviewer.Key Responsibilities Conduct admission, concurrent, and retrospective reviews of patient charts and clinical systems Collaborate wit...Show more A company is looking for a Director, Utilization Management Support Operations.Key Responsibilities Directs the utilization management team to ensure compliance with policies and procedures for o...Show more A company is looking for a Utilization Review Clinician - ABA.Key Responsibilities Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services to ensure medica...Show more A company is looking for a Utilization Review Nurse responsible for managing pre-claim prior authorization denials for pharmacy and medical benefits.
Key Responsibilities Review and assess prior a...Show more A company is looking for a Clinical Appeals RN - Remote.Key Responsibilities : Perform medical reviews on provider inquiries and member appeals Ensure compliance with Department of Labor and Stat...Show more A company is looking for a Clinical Admissions Therapist in Florida.Key Responsibilities Meet with clients upon admission, building rapport and completing biopsychosocial assessments Determine a...Show more
California Licensed Clinical Program Manager
VirtualVocations • Norwalk, California, United States
Full-time
Last updated: 3 days ago • Promoted
Florida Licensed Clinical Therapist
VirtualVocations • Van Nuys, California, United States
Full-time
Last updated: 30+ days ago • Promoted
California Licensed Clinical Therapist
VirtualVocations • Van Nuys, California, United States
Full-time
Last updated: 30+ days ago • Promoted
California Licensed Clinical Program RN
VirtualVocations • North Hollywood, California, United States
Full-time
Last updated: 3 days ago • Promoted
Utah Licensed Care Review RN
VirtualVocations • Norwalk, California, United States
Full-time
Last updated: 14 hours ago • Promoted • New!
Hawaii Licensed Utilization Review Clinician
VirtualVocations • Van Nuys, California, United States
Full-time
Last updated: 2 days ago • Promoted
DC Licensed Utilization Nurse Reviewer
VirtualVocations • Glendale, California, United States
Full-time
Last updated: 2 days ago • Promoted
Ohio Licensed Utilization Management Nurse
VirtualVocations • Glendale, California, United States
Full-time
Last updated: 30+ days ago • Promoted
Tennessee RN Utilization Review
VirtualVocations • North Hollywood, California, United States
Full-time
Last updated: 3 days ago • Promoted
Texas Licensed Care Review Clinician
VirtualVocations • Fullerton, California, United States
Full-time
Last updated: 3 days ago • Promoted
Multi-State Licensed Care Review Clinician
VirtualVocations • Whittier, California, United States
Full-time
Last updated: 3 days ago • Promoted
Tennessee Licensed Utilization Review Clinician
VirtualVocations • Glendale, California, United States
Full-time
Last updated: 4 days ago • Promoted
Ohio Licensed Utilization Management RN
VirtualVocations • Pasadena, California, United States
Full-time
Last updated: 3 days ago • Promoted
RN Licensed Utilization Management Director
VirtualVocations • Glendale, California, United States
Full-time
Last updated: 30+ days ago • Promoted
Licensed Utilization Review Clinician
VirtualVocations • Whittier, California, United States
Full-time
Last updated: 30+ days ago • Promoted
Minnesota Licensed Utilization Review Nurse
VirtualVocations • Whittier, California, United States
Full-time
Last updated: 1 day ago • Promoted
Wisconsin Licensed Clinical Appeals RN
VirtualVocations • Fullerton, California, United States
Full-time
Last updated: 30+ days ago • Promoted
Florida Licensed Clinical Admissions Therapist
VirtualVocations • Norwalk, California, United States
Full-time
Last updated: 4 days ago • Promoted