The specialist coordinates and monitors quality improvement activities to ensure compliance with PA Department of Human Services and NCQA regulations. Key duties include managing pre-service denials, member grievances, and conducting quality audits and reporting.
Remote Behavioral Health Specialist Jobs (13)
Search = Behavioral Health Specialist
Responsible for implementing ABA treatment plans and providing direct care to children aged 2-8+ in their homes. Duties include documenting patient progress, managing aggressive behaviors, and assisting with daily living activities.
Responsible for implementing ABA treatment plans and providing direct care to children aged 2-8+ in their homes. Duties include documenting patient progress, managing aggressive behaviors, and assisting with daily living activities.
Community Based Qualified Behavioral Health Specialist 16 APPLICANTS
Ace Wellness Center
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Full Time
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16 Weeks Ago
Ace Wellness Center
The Qualified Behavioral Health Specialist provides individualized, holistic care planning and community-based or telehealth services to youth, families, and adults. They are responsible for coordinating care, facilitating service plans, and maintaining accurate case documentation while working alongside licensed clinicians.
Behavioral Health Specialist Requires LSCSW or LCPC or LMFT 17 APPLICANTS
CVS Health
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Full Time
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17 Weeks Ago
CVS Health
The specialist provides care management services and evidence-based short-term psychotherapy to patients with behavioral health needs, acting as a key resource for Care Teams across primary clinics. Responsibilities include screening patients, developing care plans, coordinating referrals, and documenting encounters in the electronic medical record.
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Perform electronic verification of patient benefits and eligibility through payer portals and clearinghouses. Document and communicate this information accurately to provider offices via internal systems and email.
Manage dispatch functions for crisis line services, including coordinating mobile crisis teams and specialty clinicians. Provide backup support for contact center staff by screening incoming crisis requests and documenting all interactions in electronic health records.
Manage behavioral health and minor medical disability cases by coordinating leave processes and verifying eligibility. Collaborate with healthcare providers and employees to monitor treatment plans and facilitate return-to-work efforts.
Behavioral Health Care Specialist - (Ohio Certified)
Workit Health
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Full Time
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14 Weeks Ago
Workit Health
The Behavioral Health Care Specialist provides group-based interventions and case management for members with substance use disorders via telehealth. Responsibilities include facilitating psychoeducational and support groups, managing crisis situations, and maintaining accurate clinical documentation.
Medical Records Specialist - Mental Health/ Behavioral Health - Remote contract
Pro Med Healthcare Services
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Full Time
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3 Days Ago
Pro Med Healthcare Services
Behavioral Health Peer Support Specialist
MAP Care Solutions
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Full Time
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10 Weeks Ago
MAP Care Solutions
Provide real-world support, mentoring, and advocacy for peers with behavioral health conditions using lived experience. Manage a personal caseload via telehealth and participate in a 24/7 on-call rotation.
Behavioral Health Trainer & Technical Assistance Specialist - San Diego, California
Altarum
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Full Time
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1 Week Ago
Altarum
Develop and deliver training curricula on evidence-based practices for substance use disorders and integrated behavioral health care. Provide individualized technical assistance and coaching to community-based organizations across San Diego County to build clinical and organizational capacity.
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