- Intermountain Health (Murray, UT)
- …regulatory requirements. + Occasional travel to provider locations within Select Health region. ** Utilization Review and Care Management:** + ** Review and ... and experience in behavioral health. + Knowledge of healthcare insurance and utilization review processes. + Excellent communication and interpersonal skills. +… more
- BrightSpring Health Services (Jefferson City, MO)
- …staff are maximizing productivity for each given client + Conduct weekly meetings with BCBA : + Review billable hours spreadsheets and discuss productivity + ... Our Company SpringHealth Behavioral Health and Integrated Care Overview BCBA - Clinic Supervisor for Youth Clinic Location: 1600 Southwest Blvd Ste A, Jefferson… more
- BrightSpring Health Services (San Antonio, TX)
- …staff are maximizing productivity for each given client + Conduct weekly meetings with BCBA : + Review billable hours spreadsheets and discuss productivity + ... Care Overview Behavior Clinic Supervisor for Youth ABA MUST BE A FULLY LICENSED BCBA IN THE STATE OF TEXAS HYBRID REMOTE WORK AND FLEXIBLE SCHEDULE! We are… more
- Centene Corporation (Tallahassee, FL)
- …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...teams to review care services related to Applied Behavior Analysis Services… more
- Centene Corporation (Phoenix, AZ)
- …for this remote position.** **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and ... of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines +… more
- Humana (Montpelier, VT)
- …and integrated care needs for those with autism + Prior experience with Utilization Review , Utilization Management, Peer Reviews and/or Quality Management ... of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills… more
- Select Medical (Madison, IN)
- …participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster preparedness, etc.) + Utilize time ... and Behavior Intervention Plans directed by a Board Certified Behavior Analyst ( BCBA )/Case Manager. All therapists are supervised by the BCBA /Case Manager… more
- Vancouver Public Schools (Vancouver, WA)
- …to which a person is applying. All district employees are encouraged to review their personnel file periodically to ensure that their file includes current and ... works under the direction and supervision of a Board Certified Behavior Analyst ( BCBA ) and in collaboration with the Special Education teacher. The RBT is… more
- CVS Health (Atlanta, GA)
- …Under the direction of the Lead Clinical Psychologist, this position will focus on utilization , quality, and review of fraud, waste, and abuse for individual ... Aetna member cases. **Expectations/Responsibilities:** + Review and prepare cases for medical necessity ...based on extensive knowledge of health care delivery systems, utilization methods, reimbursement methods, and treatment protocols. + Serve… more
- Humana (Lansing, MI)
- …participates in discussions with treating physicians to explain the rationale behind utilization management decisions, + Work includes computer-based review of ... least 2 years of experience post-training providing clinical services . Experience in utilization management review and case management in a health plan setting… more