Utilization Review Clinician, Advocate, Virtual

Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for the health plan. Responsible for the administration of medical services for company health plan utilizing the evidence-based medical...

Job DescriptionJob DescriptionVivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.The Utilization Review Physician is the lead clinician for the health plan. Responsible for the administration of medical services for company health plan...

Elmhurst Hospital Center (EHC) is the major tertiary care provider in the borough of Queens. The hospital is comprised of 545 beds and is a Level I Trauma Center, an Emergency Heart Care Station and a 911 Receiving Hospital. It is the premiere health care organization for key areas such as Surgery, Cardiology, Women's Health, Pediatrics, Rehabilitation...

Elmhurst Hospital Center (EHC) is the major tertiary care provider in the borough of Queens. The hospital is comprised of 545 beds and is a Level I Trauma Center, an Emergency Heart Care Station and a 911 Receiving Hospital. It is the premiere health care organization for key areas such as Surgery, Cardiology, Women's Health, Pediatrics, Rehabilitation...

Job DescriptionJob DescriptionPosition: Telebehavioral Health ClinicianLocation: (Remote)Type: Part-time / Full-timeCompany Overview:At Ladgov, we are committed to providing accessible and high-quality healthcare services to diverse populations across the country. Our Telebehavioral Health program, based on cutting-edge televideo technology, connects...

A growing health services network in New York is currently seeking an experienced, licensed Registered Nurse (RN) to join their Case Management team as a Utilization Review Manager. In this role, the Utilization Review Manager (RN) will be responsible for assisting the Director of Case Management in overseeing the Utilization Management Program.About the...

About Alaffia & Our MissionEach year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we're on a mission to change that. We've assembled a team of clinicians, AI/ML engineers, and product experts to build advanced AI that finally bends the cost curve for all...

Overview VNS Health Family Advocates embody our core values of Empathy, Integrity, and Agility by helping children and their families access life changing resources whether its basic needs of housing and public assistance or community resource programs that support social emotional wellbeing. This role draws on lived experience to guide others through...

Job Overview:Work Schedule: 35 hours per week - Mon, Wed, Thurs & Friday from 10am - 6pm Tues from 11am -7pm Location: Fully onsite in the Lower East Side Pay: $70,000 annual salary + clinician supervision + benefits package Job Summary As our community resource advocate, you will play a key role in integrating and promoting a holistic approach to services...

Job Overview:Work Schedule: 35 hours per week – Mon, Wed, Thurs & Friday from 10am - 6pm Tues from 11am -7pm Location: Fully onsite in the Lower East Side Pay: $70,000 annual salary + clinician supervision + benefits package Job Summary As our community resource advocate, you will play a key role in integrating and promoting a holistic approach to...

Job Overview:Work Schedule: 35 hours per week - Mon, Wed, Thurs & Friday from 10am - 6pm Tues from 11am -7pm Location: Fully onsite in the Lower East Side Pay: $70,000 annual salary + clinician supervision + benefits package Job Summary As our community resource advocate, you will play a key role in integrating and promoting a holistic approach to services...

Overview: To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The QA Home Care Reviewer will facilitate the process of...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The QA Home Care Reviewer will facilitate the process of...

Job DescriptionJob DescriptionPeer Family Advocate Job Posting Are you a caregiver/parent of a child or youth that has struggled with mental health, social-emotional, or behavioral challenges?Has your child struggled in school?Did you know where to get help when you needed it?Have you had to take your child to the hospital because of their behaviors? You can...

Job DescriptionJob DescriptionPeer Family Advocate Job Posting Are you a caregiver/parent of a child or youth that has struggled with mental health, social-emotional, or behavioral challenges?Has your child struggled in school?Did you know where to get help when you needed it?Have you had to take your child to the hospital because of their behaviors?You can...

**Who we are**: Association to Benefit Children (ABC) is dedicated to bringing joy and warmth to disadvantaged children and their families through compassionate, sustainable, comprehensive and integrated services, designed to permanently break the cycles of abuse, neglect, sickness and homelessness. ABC's Infant & Early Childhood Mental Health - Single...

Job DescriptionJob DescriptionPOSITION OVERVIEW: The Utilization Manager is responsible for the day to day functions of collaborative communication with external case managers at referring provider facilities and/or managed care organizations (MCO) for data collection, interpretation and certification/recertification from third party payers at pre-admission...

Job DescriptionJob DescriptionPOSITION OVERVIEW: The Utilization Manager is responsible for the day to day functions of collaborative communication with external case managers at referring provider facilities and/or managed care organizations (MCO) for data collection, interpretation and certification/recertification from third party payers at pre-admission...

Job DescriptionJob DescriptionPeer Family Advocate Job PostingAre you a caregiver/parent of a child or youth who has struggled with mental health, social-emotional, or behavioral challenges?Has your child struggled in school?Did you know where to get help when you needed it?Have you had to take your child to the hospital because of their behaviors? You can...

**POSITION OVERVIEW**: The OASAS **Certified Recovery Peer Advocate **requires someone who is culturally aware and sensitive to the needs of the targeted population, possess excellent computer skills, be able to function as a part of a multidisciplinary team and understand therapy and group work rooted in evidenced based approaches for intervention and...