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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...

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This role is a Triage call center role with shift being Monday-Friday 8:30-5pm pacific.
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A California active independent behavioral health licensure is required. (LCSW, LMFT, LPCC, RN)
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CEAP requirement does not apply to this role.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and subs...

Looking for candidates with:
- Bachelors level clinician (RN) or Masters level clinician (LCSW, LPC, LMHC, MFT) or a provisional license.
- 3+ years of clinical experience
- Will substitute 5 or more years of clinical experience along with an Associates degree and RN licensure in place of the Bachelors degree and RN licensure.
- Experience working with total quality improvement or a behavio...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
100% Remote Work flexibility to work remote from home in Texas
Requirement: Must have an active and current unrestric...

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This role is a Triage call center role with shift being M-F 8:30-5pm PST.
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A California active independent behavioral health licensure is required. (LMSW, LCSW, LSW, LPC or RN)
*
CEAP requirement does not apply to this role.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance ab...

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

Conducts reviews of clinical interactions and clinical documentation including reviews of case management records and provider treatment records. Collects data following established procedures and analyzes findings for purposes of continuous quality improvement and for internal and external reporting. Interacts with multiple stakeholders internally and externally. Provides clinical reviews of Q...

Seeking Master's level clinician (RN/BH) in the Cambria County area of PA.
This is a remote position in PA and candidates need to reside in/near the Cambria Cty area.
Conducts reviews of clinical interactions and clinical documentation including reviews of case management records and provider treatment records. Collects data following established procedures and analyzes findings for purposes ...

This is a remote position supporting Louisiana. Candidates must be licensed and reside in Louisiana.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge plannin...

This is a remote/work from position, candidates must be licensed and reside in Hawaii.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coo...

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

Working at Northern Virginia Family Service (NVFS) means doing work that matters every day because of the difference you will make in the lives of children and families in Northern Virginia. NVFS’ breadth, depth and scope of services offer the resources and support to ensure that everyone in need, at every stage of life, maximizes their potential and fully contributes to a thriving community. ...

We are actively recruiting for multiple current and/or future opportunities in Autism!! Seeking licensed Master's level BH/Autism experienced BCBA, LBS/LBA preferred candidates.
Authorizes and reviews utilization of autism services, including Applied Behavioral Analysis (ABA). Collects and analyzes utilization data. Assists with shaping of ABA services and assures coordination with other servi...

• Monitors residential level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
• Provides telephone triage, crisis intervention and emergency authorizations as assigned.
• Performs concurrent reviews for residential care and other levels of care as allowed by scope of practice and experience.
• In conjunction with providers...

The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, and case management as assigned. The Case Manager, Utilization Management is also responsible for efficient utilization of health services and optimal health outcomes for members, as well as meeting designated quality metrics.
The Episodi...

Your Future Evolves Here
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/lif...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
STATEWIDE - TX
Seeking Licensed Clinical Social Worker (LCSW) or License Professional Counselor (LPC) to provide tele...

JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality c...

Job Details
Job Location: OMHC PRP Wash Co - Hagerstown, MD Salary Range: $70,000.00 - $160,000.00 Salary/year
Description
Clinical Intake Mental Health Therapist (HYBRID)
WHO ARE WE:
BTST Services, LLC is a CARF accredited licensed mental health agency providing comprehensive programs and integrated care to children, teens, and adults throughout the state of Maryland. BTST works ...