Clinical Utilization Specialist

Job Title: Clinical Psychosocial SpecialistThe Clinical Psychosocial Specialist plays a crucial role in supporting patients with complex psychosocial needs. This position requires a skilled professional to assess patient situations, provide recommendations, and deliver direct services that enhance healthcare utilization and prevent readmissions.

Job SummaryWe are seeking a skilled Clinical Care Manager to join our team at Community Behavioral Health. This role involves managing the utilization of services, ensuring timely access to quality care for our members.About the RoleThe successful candidate will be responsible for conducting utilization review activities, population management, cross-system...

Job Title: Clinical Operations SpecialistJob Summary:The Clinical Operations Specialist will provide day-to-day operational oversight of our skilled clinical programs, ensuring compliance with home health regulations and Agency policies and procedures.Responsibilities:* Conduct comprehensive assessments of client needs and develop plans of care to ensure...

Clinical Care Manager Job DescriptionCommunity Behavioral Health is seeking a highly skilled Clinical Care Manager to join our team. As a Clinical Care Manager, you will be responsible for conducting utilization review activities, population management, cross-system consultation, provider management, and treatment quality monitoring. You will utilize your...

Job SummaryThe Utilization Review Senior Specialist plays a vital role in ensuring timely authorization of medical services by performing various functions, including navigating electronic medical records, advocating for patients, and communicating with insurance carriers. This position requires strong analytical skills to evaluate medical records and...

Job Summary:We are seeking a highly skilled Clinical Review Specialist to join our team at Nextus Billing Solutions. This is an excellent opportunity for a detail-oriented professional with experience in healthcare operations to utilize their skills and knowledge to drive success.About the Role:The Clinical Review Specialist will play a crucial role in...

Authorization and Pre-Certification ExpertiseTemple University Hospital is seeking a skilled Clinical Authorization Specialist to join our Pre-Certification Department. As a key member of our team, you will serve as the primary clinical resource for handling complex authorization issues, ensuring that precertification/authorization issues are investigated...

About the RoleWe are seeking a highly skilled Clinical Technologies Specialist to join our team at Lifelancer. This is a fantastic opportunity for an experienced professional to utilize their expertise in clinical assessment, training development, and data review to drive success in our organization.Key ResponsibilitiesReview study-specific...

We are seeking a highly skilled Clinical Care Specialist to join our team at Community Behavioral Health (CBH). This is a unique opportunity to make a meaningful difference in the lives of individuals and families struggling with behavioral health challenges.About the RoleThe Clinical Care Specialist will be responsible for conducting utilization management...

About the JobWe are seeking a skilled Clinical Care Specialist to join our Pediatric Critical Care team at The Children's Hospital of Philadelphia. This role offers a unique opportunity to work in a dynamic and collaborative environment, providing high-quality patient care and contributing to the advancement of pediatric healthcare.Job SummaryThe Clinical...

Job Title:Clinical Care Manager: Coordination SpecialistAbout the Role:We are seeking a highly skilled Clinical Care Manager to join our team at Community Behavioral Health. As a key member of our coordination team, you will play a vital role in ensuring that our members receive timely and effective care.About the Job:The Clinical Care Manager is responsible...

Job DescriptionWe are seeking a skilled Clinical Nurse Specialist to join our team at Temple Health, where you will play a vital role in providing high-quality patient care in our outpatient setting.About the RoleThe Clinical Nurse Specialist will be responsible for assessing, implementing, and evaluating patient care under the direction of licensed...

Job SummaryWe are seeking a skilled Urology Clinical Specialist to join our team at Thomas Jefferson University & Jefferson Health. In this role, you will work collaboratively with healthcare professionals to provide comprehensive care to patients in the Neurology ambulatory practice.About the RoleThis is a rewarding opportunity for an experienced Advanced...

Clinical Care Management SpecialistWe are seeking a highly skilled Clinical Care Management Specialist to join our Complex Care team at Community Behavioral Health. As a key member of our team, you will be responsible for providing intermediate or high-intensity care management to individuals and families in need of support.Key Responsibilities:Conduct...

Community Behavioral Health (CBH) is seeking a skilled Healthcare Professional to join our team as a Clinical Care Specialist. In this role, you will play a vital part in providing exceptional care coordination and management services to our members.About the PositionWe are looking for a highly motivated and detail-oriented individual with excellent clinical...

Job Title: Clinical Care Manager - Behavioral Health SpecialistAbout the Role:We are seeking a skilled and compassionate Clinical Care Manager to join our team at Community Behavioral Health. As a Clinical Care Manager, you will play a vital role in ensuring that individuals receive timely access to quality, medically necessary behavioral health...

**Job Summary:**We are seeking a skilled and dedicated Clinical Nurse Specialist to join our team at Temple University Health System. As a key member of our healthcare team, you will be responsible for delivering high-quality patient care and collaborating with colleagues to achieve exceptional patient outcomes.About the Role:The Clinical Nurse Specialist...

We are seeking a skilled Clinical Nursing Specialist to join our team at Infojini Healthcare. This full-time opportunity will provide you with the chance to work in a dynamic environment, utilizing your expertise to deliver high-quality patient care.About the RoleAs a Travel Nurse RN, you will be responsible for assessing, implementing, and evaluating care...

About Midatlantic Employers' AssociationBebashi - Transition to Hope is a leader in community health, offering innovative care and support services to meet the needs of underserved populations. We are committed to diversity, equity, and creating lasting health outcomes within Black and Brown communities.Our mission is to deliver transformative healthcare...

Penn Medicine is a leading academic medical center dedicated to providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. As a Clinical Operations Specialist, you will play a critical role in assisting with the management of a clinical practice in a busy academic clinical...