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Physical Therapist Clinical Utilization Reviewer Jobs

Clinical Therapist- English.spanish
By Center for Domestic Peace At , Remote $70 an hour
4. Work with case management team regarding communication and scheduling therapy
therapy; school programs; community prevention and education projects; corporate, state, and
3. Refer clients to case managers for all follow-ups needed for therapy clients.
5. Two years of experience providing trauma informed therapy for children and youth ages 0-
6. Excellent written and oral communication skills.
8. Excellent computer and documentation skills.
Utilization Review - Health Care Professional - Lvn/Lpn/Physical Therapist
By EK Health Services Inc At , San Jose $30 - $31 an hour
Starts at $30-31+ per hour based on experience, education, and certifications.
Possess one of the following certifications: (RN, DC, PT, DPT, LVN, OT, LAc).
1 year of clinical experience
Knowledgeable with computer programs (MS Word, MS Excel, Email) and toggling between multiple screens.
Medical, Dental & Vision Insurance
Paid Time Off & Paid Holidays
Clinical Therapist Jobs
By Mind of Peace Counseling, LLC At Manchester, NH, United States

Mindofpeacellc.com We have an opening for a Provisional or Fully licensed contractor. Free Supervision! Extraordinarily talented peer cohort. Best in industry level support staff. Starting at $50 ...

Senior Therapist - Youth Clinical Utilization Review
By City of Alexandria, VA At , Alexandria $66,460 - $89,027 a year
Implement Independent Assessment Certification & Coordination Team (IACCT) recommendations including locating residential treatment placements and intensive community based services;
Act as Family Assessment and Planning Team (FAPT) Case Manager for high needs youth and their families;
Engage families seeking residential services for their children in the Children’s Services Act (CSA) Parental Agreement process;
Provide consultation, coordination and monitoring when out-of-home behavioral health services are considered, including Parental Agreements;
Participate in multi-disciplinary planning meetings, court hearings, and relevant training, conferences and workshops;
Develop and monitor treatment plans with youth and their families based on their strengths, needs, preferences, and goals;
Clinical Therapist Jobs
By Heidi Hulbig Mind Body Therapy At Massachusetts, United States
Fee for service compensation commensurate with skills and experience
2+ years clinical experience with adults in the individual therapy setting
Effective communication skills with respect for honesty, transparency, and boundaries
100% remote work with flexible scheduling
3 professional references (1 qualified to assess clinical practice skills)
Adequate technology to support HIPAA-compliant platforms used for virtual sessions, documentation, and communication with clients
Ltss Reviewer Utilization Management - Remote
By AmeriHealth Caritas At , Harrisburg, 17112, Pa
Participates in Quality Reviews and Inter Rater Reliability processes and achieves performance results at or above thresholds established by management.
Submits appropriate documentation/clinical information in enterprise platform systems record keeping and documentation requirements.
Maintains awareness and complies with Plan CHC authorization timeliness standards based on DHS/NCQA requirements.
Documents date that the request was received, nature of request, utilization determination (and events leading up to the determination).
Verifies and documents Participant eligibility for services.
Accessing and applying Medical Guidelines for decision making prior to Medical Director/Physician Advisor referral.
Physical Therapist-Clinical Specialist Jobs
By US Veterans Health Administration At , Grand Junction, 81501, Co $124,807 - $162,246 a year
-Demonstrated Knowledge, Skills, and Abilities (KSAs)
If you are relying on your education to meet qualification requirements:
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Bachelor's degree in Physical Therapy AND five (5) years of progressively independent experience as a physical therapist.
Master's degree in Physical Therapy AND two (2) years of progressively independent experience as a physical therapist.
Board Certification in the specialty area recognized by the American Board of Physical Therapy Specialties (ABPTS)
Clinical Therapist Jobs
By The Ohio State University At , Columbus, 43201, Oh

This is an embedded position within the North Residential District. The successful candidate will establish and maintain service presence within the North Residential District, including networking ...

Clinical Therapist Jobs
By Prosperity Eating Disorders and Wellness Center At Herndon, VA, United States
Must be able to demonstrate leadership abilities, and to communicate with persons from all educational and cultural backgrounds.
Must understand the therapeutic process and confidentiality laws, and have strong knowledge of professional ethics.
Review the Intake Assessment and medical records before a client’s admission to treatment and finish BPS within 1st or 2nd session.
Complete the Problem List and Comprehensive Treatment Plan within 5 days of admission.
Update the Treatment Plan with the client monthly.
Complete the Discharge Plan during the client’s last weeks of the program or within three days of discharge.
Clinical Therapist Jobs
By Epic Therapy and Counseling Services At Mount Holly, NJ, United States
Proven work experience as a Mental Health Therapist or similar role
Relevant training and/or certifications as a Mental Health Therapist
Establish positive, trusting rapport with patients
Diagnose and treat mental health disorders
Create individualized treatment plans according to patient needs and circumstances
Meet with patients regularly to provide counseling, treatment and adjust treatment plans as necessary
Clinical Therapist Jobs
By Stoked Staffing At Coeur d'Alene, ID, United States

Full time, on site and direct hire.

Please apply here or email me at [email protected]

Clinical Therapist Jobs
By The Healing Room At State College, PA, United States
Assess, Diagnose and provide therapy, counseling, intervention and/or education to clients in a professional manner.
Complete timely and accurate documentation. Meet audited tested requirements.
Fully participate in staff development opportunities offered to enhance professional growth.
Provide clinically appropriate treatment based on mental health assessment and treatment plans.
Assure continuous reimbursable sessions for assigned clients.
Implement and maintain The Healing Room's philosophy, principles, and procedures in all facets of performance.
Clinical Reviewer (Utilization Review - Rn) - Remote Within Florida
By Acentra Health At Tampa, FL, United States
Do you value care management and quality improvement?
Are you an experienced Clinical Reviewer looking for a new challenge?
Performs ongoing reassessment of review process to offer opportunities for improvement and/or change.
Active unrestricted RN applicable State and/or Compact State clinical license per contract requirements.
Knowledge of current NCQA/URAC standards strongly preferred.
Medical record abstracting skills required.
Clinical Reviewer - Physical Therapist - Evicore - Remote
By The Cigna Group At , Hartford, 06152, Ct $28 - $47 an hour

POSITION SUMMARY eviCore Healthcare is seeking a Clinical Reviewer to join our growing Therapies Department. As a Clinical Reviewer, Physical Therapist you will interact with providers on clinical ...

Utilization Review Health Care Professional - Lvn/Lpn/Physical Therapist
By EK Health Services Inc At , Rocklin, 95677, Ca $30 - $31 an hour
Possesses and can demonstrate the professional and technical skills required
Experience in UR, Workers' Compensation experience highly preferred, but not required
Excellent Written and Oral Communication Skills
Responsibilities may include, but are not limited to:
Perform a complete evaluation of the medical data for the request
Collect additional relevant data as needed to decide on medical necessity
Physical Therapist / Occupational Therapist - Utilization Management - Remote
By UnitedHealth Group At , Eden Prairie, 55344, Mn $66,100 - $118,300 a year
Be knowledgeable on and apply all necessary regulatory requirements for assigned regions
Responsible for appropriate utilization management (prospective, concurrent and retrospective) and implementation of healthcare affordability initiatives in all the UnitedHealthcare regions
Experience in a managed care environment (health plan, medical group, etc.)
5+ years of clinical experience
Proficient knowledge of practice guidelines, including office procedures, current research and scope of practice
Access to high-speed internet from home (Broadband cable, Fiber or DSL)
Clinical Reviewer Therapist Jobs
By One Call At , $66,100 - $109,100 a year
Utilizes and maintains general knowledge of insurance reimbursement and specific knowledge of One Call Care Management processes
Must have the ability to work with and have knowledge of the physician community, managed care, pre-certification, and utilization review.
GENERAL KNOWLEDGE, SKILLS & ABILITIES:
Performs miscellaneous tasks and projects as assigned by management.
Opportunities to work from home
Tuition Reimbursement Program including certifications
Ltss Utilization Management Reviewer Clinical
By AmeriHealth Caritas At , Remote
Participates in Quality Reviews and Inter Rater Reliability processes and achieves performance results at or above thresholds established by management.
Submits appropriate documentation/clinical information in enterprise platform systems record keeping and documentation requirements.
Documents date that the request was received, nature of request, utilization determination (and events leading up to the determination).
Verifies and documents Participant eligibility for services.
Accesses and applies Medical Necessity Guidelines for decision making.
Adheres to Process Standards, Standard Operating Procedures, and Policies and Procedures, as defined by specific UM role (Prior Authorization, Concurrent Review)
Clinical Therapist/Coordinator Jobs
By Community Resources For Justice (CRJ) At New Haven, CT, United States
Perform record keeping in accordance with Health Information Services and other Center requirements.
Master’s degree in social work, counseling or related field and relevant clinical experience. Behavioral Health Licensure such as: LCSW/LMHC/LPC/LMFT LADC required.
Experience providing mental health and substance abuse treatment both group and individual therapy preferred.
Experienced in providing Cognitive Behavioral Treatment, Dialectical Behavioral Treatment, Seeking Safety Treatment, and working with criminal justice population preferred.
Perform biopsychosocial evaluations/treatments for a panel of clients with mental health and substance use disorders.
Provide crisis intervention as needed.
Licensed Utilization Reviewer I
By Elevance Health At ,
Applies clinical knowledge to work with facilities and providers for care coordination.
Educates the member about plan benefits and contracted physicians, facilities and healthcare providers.
Refers treatment plans/plan of care to peer clinical reviewers in accordance with established criteria/guidelines and does not issue medical necessity non-certifications.
Facilitates accreditation by knowing, understanding, and accurately applying accrediting and regulatory requirements and standards.
Job Family: Medical and Clinical
Date Posted: Apr 20, 2023