Behavioral Health Prior Authorization Utilization Review Consultant

AHCCCS in Phoenix seeks an Behavioral Health Prior Authorization Utilization Review Consultant to monitor, evaluate, and decide on payment for medical and behavioral services under AHCCCS Fee for Service. The role requires licensing, clinical expertise, and strong analysis to ensure compliance with standards of care and regulations, with collaboration across...

The Behavioral Health Prior Authorization Utilization Review Consultant monitors, evaluates, and approves or denies payment for medical and behavioral healthcare services through prospective, concurrent, and retrospective review for Arizona's Medicaid (AHCCCS) Fee for Service population. The role determines medical necessity based on standards of care and...

Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate. Key Details: Must be available to work Second Shift, 2pm - 10pm est. Open to all time zones. Evaluates member’s treatment...

AHCCCS Arizona Health Care Cost Containment System Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans

Clinical Prior Authorization Reviewer Location: Phoenix, AZ OR Remote as well Duration: 03 Month+ Contract Work hours: Remote okay, but must work Arizona/Phoenix hours. Reliability is important. Pay Rate: $45/Hour On W2 What they really need: RN/Clinical background Strong Prior Authorization (PA) / Utilization Management (UM) experience Health Plan/Payer or...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something...

JOB PURPOSE: Primary Care Behavioral Health Consultant (BHC) provides a range of services inclusive of assessment and intervention related to health behaviors that affect the patient’s management of chronic medical illnesses. In this role the Primary Care BHC’s and behavioral health teams work collaboratively to ensure ongoing communication and...

Behavioral Health Technician-CoC Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based rehabilitation. GEO provides complementary,