Health. Demonstrates success and positive outcomes as a result of therapeutic outcomes through appropriate utilization... and timely to ensure communication of progress and plan with other Marimn health care providers. Engages case management model...
an individual's health needs using communication and available resources to promote quality, cost-effective outcomes... in a Managed Care environment performing case management Knowledgeable and compliant with all relevant laws, rules regulations...
an individual's health needs using communication and available resources to promote quality, cost-effective outcomes... in a Managed Care environment performing case management Knowledgeable and compliant with all relevant laws, rules regulations...
an individual's health needs using communication and available resources to promote quality, cost-effective outcomes... in a Managed Care environment performing case management Knowledgeable and compliant with all relevant laws, rules regulations...
an individual's health needs using communication and available resources to promote quality, cost-effective outcomes... in a Managed Care environment performing case management Knowledgeable and compliant with all relevant laws, rules regulations...
an individual's health needs using communication and available resources to promote quality, cost-effective outcomes... in a Managed Care environment performing case management Knowledgeable and compliant with all relevant laws, rules regulations...
an individual's health needs using communication and available resources to promote quality, cost-effective outcomes... in a Managed Care environment performing case management Knowledgeable and compliant with all relevant laws, rules regulations...
-to-day activities of BH utilization management team. Monitors behavioral health (BH) utilization review clinicians...: Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and supervises day...
activities of BH utilization management team. Monitors behavioral health (BH) utilization review clinicians and ensures... the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and supervises day-to-day...
in behavioral health and/or substance use disorder. Managed care and utilization management experience required. Diversity..., pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services...
of Utilization Review /Case Management Our ideal candidate will have 24-hour, 7 days a week responsibility for the operational... staff. Utilization Management Plans, develops, coordinates and maintains manual and automated information, storage...
Manager (BHI Utilization Management) will be responsible for reviewing and processing requests for authorization... and notification of behavioral health services from health professionals, clinical facilities and ancillary providers. The incumbent...
of Utilization Review /Case Management Our ideal candidate will have 24-hour, 7 days a week responsibility for the operational... staff. Utilization Management Plans, develops, coordinates and maintains manual and automated information, storage...
Kings View is a nonprofit leader in providing behavioral health services to the underserved community, is currently... seeking a driven Clinical Supervisor-Utilization Review to join our mission to provide compassionate services...
Kings View is a nonprofit leader in providing behavioral health services to the underserved community, is currently... seeking a driven Clinical Supervisor-Utilization Review to join our mission to provide compassionate services...
Description Reporting to Director of Behavioral Health and Case Management. The Associate Director of BH/CM will work... closely with the Director of BH/CM to ensures the provision of quality behavioral health and case management services...
/ behavioral health team members and assumes responsibility for overall program functions in the Program Managers absence.... Organizes various program components for the appropriate utilization and management of staff including triage and case...
and direction to social work/ behavioral health team members and assumes responsibility for overall program functions in the Program... Managers absence. Organizes various program components for the appropriate utilization and management of staff including...
Overview: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients... as a leader of positive change. Responsibilities: The House Supervisor demonstrates HMH values, leadership and interpersonal...
Overview: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients... skills Education, Knowledge, Skills and Abilities Preferred: Knowledge of milliman and/or interqual criteria, utilization...