Associate Degree in Nursing required; Bachelor Degree in Nursing preferred * Licensed Social Worker ... behavioral health/substance use/co-occurring disorders in an inpatient or outpatient acute care ...
Associate Degree in Nursing required; Bachelor Degree in Nursing preferred * Licensed Social Worker ... behavioral health/substance use/co-occurring disorders in an inpatient or outpatient acute care ...
Psychologist - Center for Developmental Behavioral Health
Baltimore, MD · On-site
$72K - $129K/yr
Psychologist - Center for Developmental Behavioral Health (DBH) The Psychologist I will provide ... psychology associates. 11. Maintains Institute productivity and compliance standards.
Psychologist - Center for Developmental Behavioral Health
Baltimore, MD · On-site
$72K - $129K/yr
Psychologist - Center for Developmental Behavioral Health (DBH) The Psychologist I will provide ... psychology associates. 11. Maintains Institute productivity and compliance standards.
Overview Psychologist - Center for Developmental Behavioral Health (DBH) The Psychologist I will ... psychology associates. 11. Maintains Institute productivity and compliance standards.
Overview Psychologist - Center for Developmental Behavioral Health (DBH) The Psychologist I will ... psychology associates. 11. Maintains Institute productivity and compliance standards.
Associate Degree in Nursing required; Bachelor Degree in Nursing preferred * Licensed Social Worker ... behavioral health/substance use/co-occurring disorders in an inpatient or outpatient acute care ...
Associate Degree in Nursing required; Bachelor Degree in Nursing preferred * Licensed Social Worker ... behavioral health/substance use/co-occurring disorders in an inpatient or outpatient acute care ...
Overview Psychologist - Center for Developmental Behavioral Health (DBH) The Psychologist I will ... associates.11. Maintains Institute productivity and compliance standards. Qualifications ...
Overview Psychologist - Center for Developmental Behavioral Health (DBH) The Psychologist I will ... associates.11. Maintains Institute productivity and compliance standards. Qualifications ...
Registered Nurse (RN) 2C Medicine Behavioral Health
Washington, DC · On-site
$41.38 - $66.92/hr
Patients on this unit are admitted with a variety of diagnoses as well as behavioral health ... Free parking for associates Qualifications * ADN, BSN, MSN, or CNL from an accredited School of ...
Registered Nurse (RN) 2C Medicine Behavioral Health
Washington, DC · On-site
$41.38 - $66.92/hr
Patients on this unit are admitted with a variety of diagnoses as well as behavioral health ... Free parking for associates Qualifications * ADN, BSN, MSN, or CNL from an accredited School of ...
Registered Nurse (RN) 2C Medicine Behavioral Health
Washington, DC · On-site
$41.38 - $66.92/hr
Patients on this unit are admitted with a variety of diagnoses as well as behavioral health ... Free parking for associates Qualifications * ADN, BSN, MSN, or CNL from an accredited School of ...
Registered Nurse (RN) 2C Medicine Behavioral Health
Washington, DC · On-site
$41.38 - $66.92/hr
Patients on this unit are admitted with a variety of diagnoses as well as behavioral health ... Free parking for associates Qualifications * ADN, BSN, MSN, or CNL from an accredited School of ...
Associate Degree in Nursing required; Bachelor Degree in Nursing preferred * Licensed Social Worker ... behavioral health/substance use/co-occurring disorders in an inpatient or outpatient acute care ...
Associate Degree in Nursing required; Bachelor Degree in Nursing preferred * Licensed Social Worker ... behavioral health/substance use/co-occurring disorders in an inpatient or outpatient acute care ...
Associate Degree in Nursing required; Bachelor Degree in Nursing preferred * Licensed Social Worker ... behavioral health/substance use/co-occurring disorders in an inpatient or outpatient acute care ...
Associate Degree in Nursing required; Bachelor Degree in Nursing preferred * Licensed Social Worker ... behavioral health/substance use/co-occurring disorders in an inpatient or outpatient acute care ...
Clinical Provider Auditor I - Maryland Behavioral Health
Hanover, MD · On-site
$28.75 - $35.94/hr
This field-based role enables associates to primarily operate in the field, traveling to client ... Behavioral Health coding and auditing experience preferred. For candidates working in person or ...
Clinical Provider Auditor I - Maryland Behavioral Health
Hanover, MD · On-site
$28.75 - $35.94/hr
This field-based role enables associates to primarily operate in the field, traveling to client ... Behavioral Health coding and auditing experience preferred. For candidates working in person or ...
Clinical Provider Auditor I - Maryland Behavioral Health
Hanover, MD · On-site
$28.75 - $35.94/hr
Field : This field-based role enables associates to primarilyoperatein the field, traveling to ... Behavioral Health coding and auditing experience preferred. For candidates working in person or ...
Clinical Provider Auditor I - Maryland Behavioral Health
Hanover, MD · On-site
$28.75 - $35.94/hr
Field : This field-based role enables associates to primarilyoperatein the field, traveling to ... Behavioral Health coding and auditing experience preferred. For candidates working in person or ...
Med Surg Behavioral Health RN in Washington, DC
Washington, DC · On-site
$41.38 - $66.92/hr
Registered Nurse (RN) 2C Medicine Behavioral Health - Relocation Offered! About this Job: Unit ... Free parking for associates Qualifications * ADN, BSN, MSN, or CNL from an accredited School of ...
Med Surg Behavioral Health RN in Washington, DC
Washington, DC · On-site
$41.38 - $66.92/hr
Registered Nurse (RN) 2C Medicine Behavioral Health - Relocation Offered! About this Job: Unit ... Free parking for associates Qualifications * ADN, BSN, MSN, or CNL from an accredited School of ...
Behavioral Health Clinical Quality Audit Analyst Senior - Maryland
Hanover, MD · On-site
$79K - $99K/yr
Behavioral Health Clinical Quality Audit Analyst Senior - Maryland Behavioral Health Clinical ... This role enables associates to workvirtually full-time, except for required in-person training ...
Behavioral Health Clinical Quality Audit Analyst Senior - Maryland
Hanover, MD · On-site
$79K - $99K/yr
Behavioral Health Clinical Quality Audit Analyst Senior - Maryland Behavioral Health Clinical ... This role enables associates to workvirtually full-time, except for required in-person training ...
Behavioral Health Clinical Quality Audit Analyst Senior - Maryland
Hanover, MD · On-site
$79K - $99K/yr
Behavioral Health Clinical Quality Audit Analyst Senior Location: The ideal candidate will reside ... This role enables associates to workvirtually full-time, except for required in-person training ...
Behavioral Health Clinical Quality Audit Analyst Senior - Maryland
Hanover, MD · On-site
$79K - $99K/yr
Behavioral Health Clinical Quality Audit Analyst Senior Location: The ideal candidate will reside ... This role enables associates to workvirtually full-time, except for required in-person training ...
Registered Behavior Technician (RBT)
Silver Spring, MD · On-site
$26 - $30/hr
Behavioral Health * Human Services Responsibilities * Provide one-on-one ABA therapy sessions using ... Associate's or Bachelor's degree in Psychology, Education, Child Development, Social Work, Human ...
Quick apply
Registered Behavior Technician (RBT)
Silver Spring, MD · On-site
$26 - $30/hr
Behavioral Health * Human Services Responsibilities * Provide one-on-one ABA therapy sessions using ... Associate's or Bachelor's degree in Psychology, Education, Child Development, Social Work, Human ...
Clinical Provider Auditor I - Maryland Behavioral Health
$28.75 - $35.94/hr
Field : This field-based role enables associates to primarilyoperatein the field, traveling to ... Behavioral Health coding and auditing experience preferred. For candidates working in person or ...
Clinical Provider Auditor I - Maryland Behavioral Health
$28.75 - $35.94/hr
Field : This field-based role enables associates to primarilyoperatein the field, traveling to ... Behavioral Health coding and auditing experience preferred. For candidates working in person or ...
Registered Behavior Technician - RBT
Fort George G Meade, MD · On-site
$27 - $28/hr
... Behavioral Therapist with Maxim Healthcare Services is the position for you! Position: Registered ... study leading to an associate's or bachelor's degree (psychology, education, social work ...
Registered Behavior Technician - RBT
Fort George G Meade, MD · On-site
$27 - $28/hr
... Behavioral Therapist with Maxim Healthcare Services is the position for you! Position: Registered ... study leading to an associate's or bachelor's degree (psychology, education, social work ...
Behavioral Health Technician-Columbia (Greenbrook)
Columbia, MD · On-site
$22 - $24/hr
... and or Associate's degreee combined with substantial relevant work experience. * Preferred ... At the forefront of mental health care, Greenbrook operates 95+ U.S. centers offering cutting-edge ...
Behavioral Health Technician-Columbia (Greenbrook)
Columbia, MD · On-site
$22 - $24/hr
... and or Associate's degreee combined with substantial relevant work experience. * Preferred ... At the forefront of mental health care, Greenbrook operates 95+ U.S. centers offering cutting-edge ...
Mental Health Therapist
Columbia, MD · On-site
$80K - $87K/yr
Pay Range: $70,000-80,000 Associate, $80,000-87,000 fully licensed Discovery Behavioral Health seeks to build a diverse staff that is reflective of the patients we serve and the communities where we ...
Mental Health Therapist
Columbia, MD · On-site
$80K - $87K/yr
Pay Range: $70,000-80,000 Associate, $80,000-87,000 fully licensed Discovery Behavioral Health seeks to build a diverse staff that is reflective of the patients we serve and the communities where we ...
Certified Medical Assistant - Full-time - Outpatient Behavioral Health - Medstar Washington Hospital
Washington, DC · On-site
$48K - $59K/yr
Signet Health manages the behavioral health services for Medstar Washington Hospital Center. Our ... clinical associates working in a variety of settings across our health system, including 10 ...
Certified Medical Assistant - Full-time - Outpatient Behavioral Health - Medstar Washington Hospital
Washington, DC · On-site
$48K - $59K/yr
Signet Health manages the behavioral health services for Medstar Washington Hospital Center. Our ... clinical associates working in a variety of settings across our health system, including 10 ...
Behavioral Health Associate information
See Hanover, MD salary details
$13.63 - $16.02
8% of jobs
$16.02 - $18.42
7% of jobs
$19.72 is the 25th percentile. Wages below this are outliers.
$18.42 - $20.81
17% of jobs
The median wage is $23.13 / hr.
$20.81 - $23.20
18% of jobs
$23.20 - $25.59
8% of jobs
$25.59 - $27.98
6% of jobs
$27.98 - $30.38
8% of jobs
$30.80 is the 75th percentile. Wages above this are outliers.
$30.38 - $32.77
7% of jobs
$32.77 - $35.16
8% of jobs
$35.16 - $37.55
6% of jobs
$37.55 - $39.94
4% of jobs
$13
$25
$39
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Behavioral Health Utilization Management Reviewer
Washington, DC • On-site
Full-time
Medical, Retirement, PTO
Posted 11 days ago
AmeriHealth Caritas rating
8.3
Based on 73 frontline employees who took The Breakroom Quiz
129th of 311 rated insurance
Job description
Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. It is within the BH UM Reviewer's discretion to retain requests for additional information and/or request clarification. The BH UM Reviewer will use professional judgment to evaluate the request to ensure that appropriate services are approved and recognize care coordination opportunities and refer those cases to integrated care management as needed. The BH UM Reviewer will apply medical health benefit policy and medical management guidelines to authorize services and appropriately identify and refer requests to the Medical Director when indicated. The BH UM Reviewers are responsible to ensure that treatment delivered is appropriately utilized and meets the member's needs in the least restrictive, least intrusive manner possible. The BH UM Reviewer will maintain current knowledge and understanding of the laws, regulations, and policies that pertain to the organizational unit's business and uses clinical judgment in their application.
Work Arrangement
- This role will work 4 days a week in the DC office located at 1201 Maine SW; the 5th day of the week is a remote work day.
- Monday through Friday from 8:00 AM EST to 5:00 PM EST
- Must work 4 out of 10 recognized company holidays to include Thanksgiving and Christmas (rotating)
- Must be willing to work 2 to 3 weekends per year. Weekend rotation based on business needs
Education & Experience
- Registered Nurse candidates: Associate Degree in Nursing required; Bachelor Degree in Nursing preferred
- Licensed Social Worker candidates: Master Degree in Social Work required
- Minimum of 2 years of independent clinical practice experience assessing and treating individuals with behavioral health/substance use/co-occurring disorders in an inpatient or outpatient acute care setting
- Utilization management experience in a managed care organization preferred
Licensure
- Requirements for LSW: Active and unencumbered professional licensure/independent licensure in DC: LPC, LICSW, LCMHC, LMFT
- Must have ability to obtain additional licensure in LA, NC, NH and OH within 12 months from date of hire
- Requirements for RN: Active and unencumbered RN license in DC
- Must have ability to obtain additional licensure in LA, NC, NH and DC within 12 months from date of hire
Skills & Abilities
- Proficiency in Microsoft Office, including Word, Excel, Teams, and Outlook
- Consistent and accurate typing skills
- Ability to communicate in a positive/professional manner both orally and written
- Strong problem-solving skills and decision making skills
- Strong organizational and time management skills
- Ability to follow detailed instructions with a high degree of accuracy
- Ability to work independently; complete tasks in the allotted time frame
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
The targeted hiring range for this role is expected to be between $77,700 and 105,900.The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the D.C. office. Within the range, individual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training.
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We're looking for the next generation of health care leaders.
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
What AmeriHealth Caritas employees say
Pay
Benefits
Hours and flexibility
Workplace
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About AmeriHealth Caritas
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1983