Utilization Review Clinician

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. Position Purpose: Performs a clinical review and assesses care related to mental...

Position Purpose:As a clinical professional on our Medical Management/Health Services team, you will have the opportunity to make a significant impact on the lives of our 28 million members.Centene is a diversified, national organization offering competitive benefits, including a fresh perspective on workplace flexibility.Key Responsibilities:Perform...

About Us:NeuroPsychiatric Hospitals is a leading healthcare provider offering comprehensive care to patients with neurological and medical needs. Our unique approach focuses on inter-disciplinary care, utilizing a multi-specialty approach to address complex medical and neuropsychiatric issues.Overview:We are seeking a Utilization Review Coordinator to...

Title : Licensed Utilization Review II Location : Candidates must reside within 50 miles or 1-hour commute each way of an Elevance Health location. Build the Possibilities. Make an Extraordinary Impact. The Licensed Utilization Review II is responsible for working primarily with healthcare providers to help ensure appropriate and consistent administration of...

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and...

Working At NYAP NYAP's commitment to doing what is best for children, youth and their families is a core value and one that we look for in our newest team members. 22 Days Off Each Year! Plus 11 Paid Holidays Per Year! Healthcare Benefits for you and your family Pet Insurance Competitive salaries and benefits including a 401(k), Summer Hours Off...

Job OverviewMP RPO is seeking a skilled Utility Coordinator Specialist to join our team. As a key member of our Transportation team, you will be responsible for coordinating utility services for Transportation & Public works projects.Key Responsibilities:Perform utility coordination services for Transportation & Public works projects, both INDOT and local...

Job SummaryAt the Health & Hospital Corporation of Marion County, we are seeking a highly skilled Licensed Clinician to join our team at the Sandra Eskenazi Mental Health Center. As a Licensed Clinician, you will play a vital role in providing assessment, intervention, and support to individuals experiencing mental illness, substance use, or homelessness.Key...

Job DetailsJob Location Indianapolis, IN Education Level 4 Year Degree Salary Range $60,000.00 Job Category Nonprofit - Social Services Working At NYAP NYAP's commitment to doing what is best for children, youth and their families is a core value and one that we look for in our newest team members. 22 Days Off Each Year! Plus 11 Paid Holidays Per Year!...

Job SummaryMP RPO is seeking a skilled Utility Coordinator Specialist to join our team. As a key member of our Transportation group, you will be responsible for performing utility coordination services for Transportation & Public works projects. This includes scheduling and conducting utility coordination meetings, acting as the lead liaison between MP RPO...

Job Title: Hazard Mitigation Plan ReviewerLocation: Indianapolis, IN (Hybrid Role)Contract Position: YesJob Summary:Working under the guidance of the State Hazard Mitigation Officer, the Hazard Mitigation Plan Reviewer will carry out the hazard mitigation planning duties and responsibilities as addressed in the Indiana Code, Stafford Act, and Code of Federal...

SUMMARY:Utilization Management RN to be responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources.MAJOR JOB DUTIES AND RESPONSIBILITIES: Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity...

About Hopscotch Primary CareWe are a healthcare organization dedicated to providing high-quality primary care to patients in rural communities. Our mission is to transform healthcare in rural America by delivering care that is tailored to meet the unique needs of our patients.The RoleWe are seeking an Advanced Practice Clinician to join our team. As an...

Project Manager IHybrid - Plainfield, IN3-Year Contract (W2), Weekly Pay (40 hours/week)Desired Start Date: 12/2/2024Calculated Hire is in search of a Project Manager I for our Utility Company partner. You will be responsible for the following components:Job Summary• The Project Manager I may have relationships with individuals in various organizations...

Make a Difference with Our TeamThe Behavioral Health Clinician provides psychiatric clinical intervention services for patients and families. This role involves administering direct and indirect patient care, ensuring the integrity of the treatment milieu and safety for patients, including the de-escalation of volatile situations.Key Responsibilities:*...

Job SummaryAs a Utilization Management Representative I at Elevance Health, you will play a vital role in coordinating cases for precertification and prior authorization review. This position requires strong communication and organizational skills, as well as the ability to work effectively in a hybrid model. Key Responsibilities Manage incoming calls and...

The Utilities Planner/Reliability Specialist will be responsible for planning, estimating and scheduling work to be performed by the Utilities Staff and will be the Utilities Administrator for the Computerized Maintenance Management System (CMMS) system. The Planner/Scheduler will ensure that work is performed in an efficient and quality manner and that the...

The Utilities Planner/Reliability Specialist will be responsible for planning, estimating and scheduling work to be performed by the Utilities Staff and will be the Utilities Administrator for the Computerized Maintenance Management System (CMMS) system. The Planner/Scheduler will ensure that work is performed in an efficient and quality manner and that the...

Job SummaryThe Licensed Clinician performs a variety of individual, family and group therapeutic interventions, and is familiar with best practices for a variety of client populations. This position manages a caseload of clients by identifying therapeutic, rehabilitative and case management needs, engaging other team members in meeting these needs as...

The Utilities Planner/Reliability Specialist will be responsible for planning, estimating and scheduling work to be performed by the Utilities Staff and will be the Utilities Administrator for the Computerized Maintenance Management System (CMMS) system. The Planner/Scheduler will ensure that work is performed in an efficient and quality manner and that the...