Autism Care Utilization Management Specialist

Job SummaryCVS Health is seeking a skilled Clinical Utilization Specialist to join our Autism Care Team. As a key member of our team, you will play a critical role in ensuring that our members receive high-quality, evidence-based care.Key ResponsibilitiesUtilize clinical expertise to assess the appropriateness of treatment plans for Applied Behavior Analysis...

Job SummaryCVS Health is seeking a skilled Clinical Utilization Specialist to join our Autism Care Team. As a key member of our team, you will play a critical role in ensuring that our members receive the highest quality care and services.Key ResponsibilitiesUtilize clinical expertise to assess the appropriateness of treatment plans for Applied Behavior...

About CVS HealthAt CVS Health, we are united by a common mission: to bring compassion to every aspect of health care. Our commitment is to provide innovative, human-centered health solutions that adapt to the evolving needs of our communities.Position OverviewThis role is a full-time, remote position, operating during standard business hours from Monday to...

About CVS HealthAt CVS Health, we are dedicated to enhancing health care through a human-centric approach. Our mission is to ensure that every moment of your health is approached with compassion and understanding. We believe that how we deliver our services is just as crucial as the services themselves, and we are committed to fostering a culture of...

About the RoleWe are seeking a highly skilled and compassionate Behavior Consultant to join our team at NeurAbilities Healthcare. As a key member of our interdisciplinary team, you will play a vital role in providing top-notch medical and psychological care to individuals with autism and other neurodevelopmental disabilities.Key ResponsibilitiesConduct...

About the RoleWe are seeking a highly skilled and dedicated Behavior Consultant to join our team at NeurAbilities Healthcare. As a Behavior Consultant, you will play a critical role in providing high-quality care to individuals with autism and other neurodevelopmental disabilities.Key ResponsibilitiesConduct comprehensive behavior assessments to identify...

Job SummaryCVS Health is seeking a skilled Clinical Utilization Management Specialist to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right setting.Key ResponsibilitiesCoordinate and Document Utilization Management Activities:...

Job Summary:Mission Autism Clinics is seeking a highly skilled Board Certified Behavior Analyst to lead our clinical team as a Clinical Program Manager. As a key member of our organization, you will be responsible for overseeing all aspects of clinical programming, including assessment, consultation, and supervision services for our clients and families.Key...

Job Summary:Mission Autism Clinics is seeking a highly skilled and dedicated Behavioral Therapist to join our team. As a key member of our clinical staff, you will play a vital role in providing high-quality ABA therapy to our clients and their families.Key Responsibilities:Oversee all aspects of clinical programming for a caseload of client hours in a...

Job Summary:Our team of Behavior Analysts is at the heart of our mission to provide high-quality ABA therapy. As a key member of our clinical team, you will be responsible for overseeing all aspects of clinical programming for a caseload of 220-250 client hours in a clinic setting.Key Responsibilities:Complete new client intakes and conduct initial and...

Position Overview:As a pivotal member of CVS Health, the Utilization Management Nurse Consultant plays a crucial role in enhancing patient care through effective utilization management strategies. This position is fully remote, allowing for flexibility while maintaining a focus on delivering quality healthcare.Key Responsibilities:Utilize clinical expertise...

Position Overview:This role as a Utilization Management (UM) Nurse Consultant is designed for a fully remote environment, allowing candidates to work from home while providing essential healthcare services.Work Schedule:Standard hours are Monday to Friday, from 8:30 AM to 5:00 PM EST, with the requirement to accommodate rotating evening shifts until 9 PM EST...

Job SummaryBAYADA Home Health Care is seeking a skilled Registered Nurse to join our team as a Home Health Care Professional. As a Nurse Care Specialist, you will provide high-quality patient care in the comfort of their own homes.Key ResponsibilitiesDevelop and implement personalized care plans in accordance with patient needs and goals.Conduct thorough...

About the RoleWe are seeking a highly skilled and experienced BCBA Clinical Manager to join our team at NeurAbilities Healthcare. As a key member of our leadership team, you will be responsible for the management of clinical operations and quality assurance within your site location.Key ResponsibilitiesManage clinical operations and quality assurance within...

About the RoleWe are seeking a highly motivated and compassionate Behavioral Support Specialist to join our team at New Story School. As a key member of our educational team, you will play a vital role in supporting students with autism and emotional/behavioral disorders in achieving their academic and personal goals.Key ResponsibilitiesSupportive Learning...

Job SummaryUPMC - University of Pittsburgh Medical Center is seeking a skilled and compassionate Registered Nurse to join our Home Health Nursing team. As a Nurse Care Specialist, you will provide direct, one-on-one patient care in a home setting, working with a diverse patient population throughout the surrounding communities.Key ResponsibilitiesEstablish...

Job SummaryUPMC - University of Pittsburgh Medical Center is seeking a skilled Registered Nurse to join our Home Health team. As a Nurse Care Specialist, you will provide direct, one-on-one patient care in a home setting, working with a diverse patient population throughout the surrounding communities.Key ResponsibilitiesEstablish patients' plans of care in...

Company :Highmark HealthJob Overview :POSITION SUMMARY:The RN Care Coordination Specialist is accountable for securing insurance precertification and recertification, acting as a liaison with insurance providers, conveying clinical details as required, and addressing any potential or actual denials. This role is integral to the care coordination team.KEY...

Healthcare Utilization and Compliance CoordinatorAlbright LIFE is dedicated to assisting individuals in fulfilling their healthcare requirements within the community, thereby avoiding the need for nursing homes or similar facilities. At Albright LIFE, you will collaborate with a team of healthcare experts to deliver exceptional, coordinated services daily,...

Coordinator of Utilization Review and Compliance StandardsAlbright LIFE is dedicated to assisting individuals in fulfilling their healthcare requirements within the community, promoting independence and well-being. As part of the Albright LIFE team, you will collaborate with a diverse group of healthcare professionals to deliver exceptional, coordinated...