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						<title>MHA Career Center Search Results (Jobs)</title>
						<link>https://careers.mentalhealthamerica.net</link>
						<description>Latest MHA Career Center Jobs</description>
						<pubDate>Wed, 22 Apr 2026 02:01:08 Z</pubDate>
						
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22209132/psychologist-nemours-children-s-health-jacksonville</link>
								
								<title>Psychologist-Nemours Children&#39;s Health, Jacksonville | Nemours Children&#39;s Health</title>								
								<guid isPermaLink="true">https://careers.mentalhealthamerica.net/jobs/rss/22209132/psychologist-nemours-children-s-health-jacksonville</guid>
								<description>Jacksonville, Florida,  Pediatric Psychologist Job Posting Specializing in Pediatric Hematology and Oncology Position Summary Nemours Children&#39;s is seeking up to two full-time Pediatric Psychologists with expertise in pediatric hematology and oncology. These positions are vital in supporting the Division of Pediatric Hematology/Oncology, providing comprehensive psychological services to children and adolescents with blood disorders and cancer. Key Responsibilities Deliver outpatient psychological care to pediatric hematology/oncology patients and their families at Nemours Children&#39;s Health in Jacksonville, FL. Provide inpatient consultative psychological services at Wolfson Children&#39;s Hospital, collaborating with multidisciplinary teams. Conduct psychological assessments, develop treatment plans, and offer evidence-based interventions for children coping with chronic illness and emotional challenges related to their diagnosis. Participate in multidisciplinary rounds, team meetings, and collaborative patient care planning. Support family adjustment and provide psychoeducation to patients, families, and medical staff. Engage in quality improvement initiatives and program development within the division. Qualifications Doctoral degree (PhD or PsyD) in Clinical, Counseling, or School Psychology from an APA-accredited program. Completion of an APA-accredited internship with specialized experience in pediatric psychology. Postdoctoral fellowship or equivalent experience in pediatric hematology/oncology preferred. Current or eligible for Florida licensure as a psychologist. Demonstrated experience providing psychological services to children with chronic or life-threatening medical conditions. Demonstrates strong abilities in assessment, intervention, consultation, and working collaboratively across disciplines. Opportunities for research are both available and encouraged, as is an interest in supervising pre-doctoral and post-doctoral students, fellows, and medical residents. About the Work Environment These positions offer the opportunity to work in a dynamic, supportive, and innovative pediatric health care setting. The psychologists will collaborate closely with physicians, advanced practice providers, nurses, social workers, and other allied health professionals dedicated to improving the lives of children and families affected by hematologic and oncologic conditions. What We Offer: No state income tax in Florida  Competitive compensation  Comprehensive benefits: health, life, dental, vision  Mortgage assistance, relocation packages and 403B with employer match, 457 retirement savings plans  Licensure, CME and dues allowance  Not-for-profit status; eligibility for Public Service Loan Forgiveness  If you&#39;re looking for a position that will allow you to enjoy a work-life balance, have an opportunity for professional growth, and focus on pediatric behavioral healthcare, this is the opportunity for you. Employer Information   Nemours Children&#39;s Health is an internationally recognized children&#39;s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children&#39;s hospitals -- Nemours Children&#39;s Hospital, Delaware and Nemours Children&#39;s Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.   As one of the nation&#39;s premier pediatric health systems, we&#39;re on a journey to discover better ways of approaching children&#39;s health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child&#39;s world a place to thrive. It&#39;s a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.   Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.   To learn more about Nemours Children&#39;s and how we go well beyond medicine, visit us at  www.nemours.org .   Organization Description   At Nemours Children&#39;s, our providers and associates work together across specialties, clinics and hospitals, to give children care that&#39;s among the safest, most caring and compassionate. As part of a pediatric health system with both clinical and academic partnerships, we are 100% focused on ensuring a healthier future for children. We strive for excellent outcomes across all of our medical and surgical specialties - and we measure these outcomes in order to provide consistent, top-rated care.   We aspire to build a workforce of providers that support the needs of the communities we serve and create a sense of belonging for our patients and families. Nemours Children&#39;s is committed to equal opportunity in welcoming candidates of all backgrounds to apply. Any preference or exclusion based on a protected characteristic is strictly prohibited. To learn more,  click here .   Nemours Children&#39;s Health, Jacksonville Our colleagues at  Nemours Children&#39;s Health, Jacksonville , work with Wolfson Children&#39;s Hospital, University of Florida College of Medicine-Jacksonville, UF Health/Shands Hospital and Mayo Clinic Florida to provide life-changing care for kids, newborns to age 18, with common and complex conditions.   Our medical,  academic  and  research  collaborations mean world-renowned treatments are available to children and families of Northeast Florida. In addition to board-certified pediatric specialists selected as some of the  &quot;Best Doctors in America(r)&quot;  year after year, families choose us for: Pediatric programs recognized among the best in the country (Neurology and Neurosurgery, Behavioral Health, and Cancer, U.S. News &#38; World Report) One of only two pediatric cancer programs in the country recognized for outstanding achievement by the American College of Surgeons Among a select blood and bone marrow transplant programs accredited by the Foundation for Accreditation of Cellular Therapies (FACT) Nationally-accredited Cystic Fibrosis Care Center Certified Center of Excellence by the American Diabetes Association (ADA) Leading-edge procedures, including cochlear implants and urologic robotic surgery in the tiniest newborns Jacksonville, FL  Living in Jacksonville, Florida, offers a dynamic blend of urban amenities and coastal charm. As the largest city by area in the contiguous US, Jacksonville provides diverse neighborhoods, ranging from historic districts to modern developments. Residents enjoy an array of outdoor activities with miles of beaches, rivers and parks for boating, fishing and hiking. The city is known for its cultural scene, including museums, theaters, and annual events like the Jacksonville Jazz Festival. With a growing economy and a welcoming community, Jacksonville provides a vibrant lifestyle with a laid-back Southern atmosphere. Application Process Interested candidates should submit a CV, cover letter, and list of professional references to  Amanda.Lochrie@nemours.org .    Applications will be reviewed on a rolling basis until the positions are filled. Nemours Children&#39;s is committed to diversity and inclusion and encourages applications from all qualified individuals.</description>
								<pubDate>Wed, 22 Apr 2026 00:46:04 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22209476/medical-office-associate-ii-psychiatry</link>
								
								<title>Medical Office Associate II - Psychiatry | Penn State Health</title>								
								<guid isPermaLink="true">https://careers.mentalhealthamerica.net/jobs/rss/22209476/medical-office-associate-ii-psychiatry</guid>
								<description>Hershey, Pennsylvania,  Penn State Health &#xa0;-&#xa0; Hershey Medical Center Location: &#xa0;US:PA: Hershey   Work Type: &#xa0;Full Time   FTE:&#xa0; 1.00   Shift: &#xa0;Day   Hours: &#xa0;Monday-Friday Day   Recruiter Contact: &#xa0;Carlee Maiman at&#xa0; clewis9@pennstatehealth.psu.edu SUMMARY OF POSITION: Provides front office support to clinical operations. Works with a diverse patient population to ensure accuracy of patient intake, registration, payments, and scheduling. Routinely answers phone calls and provides assistance to inquiries. Must be detail oriented with good interpersonal and customer service skills. Works under the daily supervision of the Practice Site Manager and/or assigned staff. MINIMUM QUALIFICATION(S):   High School diploma or equivalent required.&#xa0; One (1) year of Medical Office related experience required.&#xa0;   WHY PENN STATE HEALTH? Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below: Be Well&#xa0; with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton). Be Balanced&#xa0; with Generous Paid Time Off, Personal Time, and Paid Parental Leave. Be Secured &#xa0;with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection. Be Rewarded &#xa0;with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program. Be Supported &#xa0;by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling. WHY PENN STATE HEALTH MEDICAL GROUP? #WeAre committed to providing patient- and family-centered care to all patients ?and skillfully handle needs at every level of complexity utilizing our shared governance model of care. The Medical Group is constructed of both primary care and multi-specialty offices that are striving to make a difference in each patient?s healthcare routine. Working alongside seasoned professionals, you will be spearheading the mission of Penn State Health to provide the highest quality care to all patients within their local community! Working with us means being part of a team that strives to provide excellent patient care every day, but also one that works together to set and achieve goals, build on the Penn State Health legacy and create new possibilities for the future. &#xa0;YOU TAKE CARE OF THEM. WE?LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence ? that?s Penn State Health. But what makes our healthcare award-winning? That?s all you. This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract.  All individuals (including current employees) selected for a position will undergo a background check appropriate for the position&#39;s responsibilities.&#xa0; Penn State Health is an Equal Opportunity Employer&#xa0;and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health?s policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination.</description>
								<pubDate>Wed, 22 Apr 2026 00:54:55 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22207309/utilization-management-nurse-ii-case-management</link>
								
								<title>Utilization Management Nurse II - Case Management | CHRISTUS Health</title>								
								<guid isPermaLink="true">https://careers.mentalhealthamerica.net/jobs/rss/22207309/utilization-management-nurse-ii-case-management</guid>
								<description>Coushatta, Louisiana,  Description Summary: The Utilization Management Nurse II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services &quot;CMS&quot; Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and Joint Commission regulations and guidelines related to UM. This Nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. Responsibilities:  Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.   Applies demonstrated clinical competency and judgment in order to perform comprehensive assessments of clinical information and treatment plans and apply medical necessity criteria in order to determine the appropriate level of care.   Resource/Utilization Management appropriateness: Assess assigned patient population for medical necessity, level of care, and appropriateness of setting and services. Utilizes MCG/InterQual Care Guidelines and/or health system-approved tools to track impact and variance.   Uses appropriate criteria sets for admission reviews, continued stay reviews, outlier reviews, and clinical appropriateness recommendations.   Coordinate and facilitate correct identification of patient status.   Analyze the quality and comprehensiveness of documentation and collaborate with the physician and treatment team to obtain documentation needed to support the level of care.   Facilitates joint decision-making with the interdisciplinary team regarding any changes in the patient status and/or negative outcomes in patient responses.   Demonstrates, maintains, and applies current knowledge of regulatory requirements relative to the work process in order to ensure compliance, i.e. IMM, Code 44.   Demonstrate adherence to the CORE values of CHRISTUS.   Utilize independent scope of practice to identify, evaluate and provide utilization review services for patients and analyze information supplied by physicians (or other clinical staff) to make timely review determinations, based on appropriate criteria and standards.   Take appropriate follow-up action when established criteria for utilization of services are not met.   Proactively refer cases to the physician advisor for medical necessity reviews, peer-to-peer reviews, and denial avoidance.   Effectively collaborate with the Interdisciplinary team including the Physician Advisor for secondary reviews.   Proactively review patients at the point of entry, prior to admission, to determine the medical necessity of a requested hospitalization and the appropriate level of care or placement for the patient.   Review surgery schedule to ensure planned surgeries are ordered in the appropriate status and that necessary authorization has been obtained as required by the payor or regulatory guidance (i.e., CMS Inpatient Only List, Payor Prior Authorization matrix, etc.)   Regularly review patients who are in the hospital in Observation status to determine if the patient is appropriate for discharge or if conversion to inpatient status is appropriate.   Proactively identify and resolve issues regarding clinical appropriateness recommendations, coverage, and potential or actual payor denials.   Maintain consistent communication and exchange of information with payors as per payor or regulatory requirements to coordinate certification of hospital services.   Coordinate and facilitate patient care progression throughout the continuum and communicate and document to support medical necessity at each level of care.   Evaluate care administered by the interdisciplinary health care team and advocate for standards of practice.   Analyze assessment data to identify potential problems and formulate goals/outcomes.   Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPPA) designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).   Attend scheduled department staff meetings and/or interdepartmental meetings as appropriate.   Possesses and demonstrates technology literacy and the ability to work in multiple technology systems.   Act as a catalyst for change in the organization; respond to change with flexibility and adaptability; demonstrate the ability to work together for change.   Translate strategies into action steps; monitor progress and achieve results.   Demonstrate the confidence, drive, and ability to face and overcome challenges and obstacles to achieve organizational goals.   Demonstrate competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department.   Possess negotiating skills that support the ability to interact with physicians, nursing staff, administrative staff, discharge planners, and payers.   Excellent verbal and written communication skills, knowledge of clinical protocol, normative data, and health benefit plans, particularly coverage and limitation clauses.   Must adjust to frequently changing workloads and frequent interruptions.   May be asked to work overtime or take calls.   May be asked to travel to other facilities to assist as needed.   Actively participates in Multidisciplinary/Patient Care Progression Rounds.   Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director.   Documents in the medical record per regulatory and department guidelines.   May be asked to assist with special projects.   May serve as a preceptor or orienter to new associates.   Assumes responsibility for professional growth and development.   Familiarity with criteria sets including InterQual and MCG preferred.   Must have excellent verbal and written communication and ability to interact with diverse populations.   Must have critical and analytical thinking skills.   Must have demonstrated clinical competency.   Must have the ability to Multitask and to function in a stressful and fast-paced environment.   Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.   Must have an understanding of pre-acute and post-acute levels of care and community resources.   Must have the ability to work independently and exercise sound judgment in interactions with physicians, payors, patients, and their families.   Must have an understanding of internal and external resources and knowledge of available community resources.   Other duties as assigned. Job Requirements: Education/Skills    Graduate of an accredited School of Nursing OR demonstrated success in the Utilization Management Nurse I role for at least five years at CHRISTUS Health on top of required experience in lieu of education required.    Experience    Two or more years of clinical experience with at least one year in the acute care setting OR demonstrated success as Utilization Management Nurse I role at CHRISTUS Health required.    Licenses, Registrations, or Certifications    RN License in state of employment or compact required.   LPN or LVN license accepted for associates with 5+ years of demonstrated success and experience in the Utilization Management Nurse I role at CHRISTUS Health.   Certification in Case Management preferred.   BLS preferred. &#xa0; Work Schedule: 5 Days - 8 Hours Work Type: Full Time</description>
								<pubDate>Wed, 22 Apr 2026 01:09:29 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22204756/patient-services-specialist-psychiatry</link>
								
								<title>Patient Services Specialist - Psychiatry | Baylor Scott &#38; White Health</title>								
								<guid isPermaLink="true">https://careers.mentalhealthamerica.net/jobs/rss/22204756/patient-services-specialist-psychiatry</guid>
								<description>Round Rock, Texas,  Working Conditions: Orientation will be conducted remotely. Training will be conducted onsite. &#xa0; Working Hours: Monday to Friday: 8:00 AM to 5:00 PM &#xa0; JOB SUMMARY The Patient Services Specialist 1, with direct oversight, provides administrative support in a physician office, clinic or other operational area that assists patients, to ensure high quality, patient-centered care. Duties include patient relations, check-in and check-out, scheduling, insurance verification and answering phones. ESSENTIAL FUNCTIONS OF THE ROLE Assists with patient duties to include patient relations, check-in or check-out, scheduling, insurance verification, and answering phones. Arranges follow-up visits and referral appointments. Assists with patient registration duties by collecting and verifying insurance information. Verifies patient demographics and enters changes into computer system. Directs patient to appropriate waiting areas. Accepts payments for physician/clinic services according to established guidelines.&#xa0; Posts payments and enters charges into computer utilizing appropriate codes. Generates daily payment reports and verifies cash drawer against report.&#xa0; Provides accurate patient, medical, financial or procedural information to patients or approved outside entities.&#xa0; May be required to discuss financial arrangements with patients. Receives and directs phone calls. Assists patients and other visitors.&#xa0; Responds to routine inquiries concerning practice services, hours of operation, etc.&#xa0; Ensures any patient complaints are handled appropriately. Assists with medical records duties as requested. KEY SUCCESS FACTORS Good listening, interpersonal and communication (oral and written), and professional, pleasant and respectful telephone etiquette.&#xa0; Ability to adapt communication style to suit different audiences. Empathetic listener, sensitive, upbeat, optimistic, articulate, gracious and tactful. Ability to promptly assess requests by using electronic and paper resource materials and correctly respond to patient inquiries. Ability to calm upset patients in a composed and professional demeanor. Excellent data entry, numeric, typing and computer navigational skills, with attention to details. Comfortable working in a fast paced, constantly changing and stressful environment. BENEFITS Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level &#xa0; QUALIFICATIONS - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - Less than 1 Year of Experience</description>
								<pubDate>Wed, 22 Apr 2026 01:12:52 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22195108/pediatric-psychologist</link>
								
								<title>Pediatric Psychologist | Nemours Children&#39;s Health</title>								
								<guid isPermaLink="true">https://careers.mentalhealthamerica.net/jobs/rss/22195108/pediatric-psychologist</guid>
								<description>Orlando, Florida,  Nemours Children&#39;s Hospital in Orlando, FL is accepting applications for a   Clinical Psychologist  for our Autism Program.  Qualifications for this position include a Ph.D. or Psy.D. from an APA-approved clinical psychology program, a pre-doctoral Internship from an APA-approved site, and at least one year of postdoctoral experience in child and adolescent clinical psychology. We also prefer applicants who had child and adolescent psychology training in their graduate program. Applicants must be licensed in Florida and have experience with treating patients with autism spectrum disorder (ASD). This is a clinical position in our Center for Autism and Behavior Analysis Services outpatient program slated to start February 2026. Duties include providing autism screenings, comprehensive autism evaluations to both children with developmental delays and medical complexities, family feedback sessions, follow-up patient care, and mentorship and training to graduate students in ASD. Applicants must be trained and fluent in the Autism Diagnostic Observation Schedule, Second Edition (ADOS (r) -2), experienced in administering and interpreting standardized cognitive and academic assessments, especially those related to ASD.  Nemours Center for Autism and Behavior Analysis Services program comprises one part-time and one full-time pediatric psychologist, two graduate psychology interns, one Doctoral-Level Board Certified Behavior Analysts (BCBA-D (r) ), five BCBAs (r) , two Board Certified Assistant Behavior Analysts (r) , 13 Registered Behavior Technicians (RBT (r) s), and one administrative coordinator.  Applicants will collaborate with our psychologists in Orlando, Jacksonville, and Delaware and have access to attend and participate in monthly complex-case review meetings. In addition, psychiatry residents and pediatric residents will rotate through your clinic each month. Educational opportunities such as continuing education presentations, Grand Rounds, and multidisciplinary rounds also are available and encouraged. Nemours offers a competitive salary and a robust benefits package that includes but not limited to relocation, health, life, dental, CME, 403B Retirement Plan with matching, 457-retirement savings plan, licensure and dues allowance. Nemours is not-for-profit organization; employed physicians qualify for Public Service Loan Forgiveness. If you are looking for a clinical psychologist position that will allow you to enjoy a work-life balance, have an opportunity for professional growth, and focus on pediatric care and early childhood development, this is the opportunity for you.   #LI-LC1</description>
								<pubDate>Wed, 22 Apr 2026 00:46:04 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22193199/utilization-review-nurse-health-plans-case-management</link>
								
								<title>Utilization Review Nurse Health Plans - Case Management | CHRISTUS Health</title>								
								<guid isPermaLink="true">https://careers.mentalhealthamerica.net/jobs/rss/22193199/utilization-review-nurse-health-plans-case-management</guid>
								<description>Alamogordo, New Mexico,  Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services &quot;CMS&quot; Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and guidelines related to UM. This nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. The prior authorization role completes an assessment of a proposed service to determine if the beneficiary has eligible coverage for the service and if it is medically necessary. Promote quality, cost-effective outcomes through prior authorization and concurrent review of requested services for medical necessity based upon evidence-based clinical guidelines. Identify and present cases of possible quality of care deviations, questionable admissions, and prolonged lengths of stay to the Medical Director for further determination. Appropriately refer beneficiaries who have complex or chronic conditions, a need for transition of care, disease management support, or other identifiable needs for coordination of the beneficiary?s member?s health care for behavioral health care management. Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI). Protect the confidentiality of data and intellectual property; assures compliance with national health information guidelines. Analyze clinical information submitted by medical providers to evaluate the medical necessity, appropriateness, and efficiency of the use of medical services, procedures, and facilities. Perform provider outreach to address post-hospital discharge services, redirection to in-network providers for appropriate steerage, durable equipment usage, and utilization of other medical services and/or procedures and other necessary telephonic follow-up. Utilize the nursing process and critical thinking skills to provide oversight of services and evaluation of service options. Ability to work in a variety of settings with culturally diverse communities with the ability to be culturally sensitive and appropriate.&#xa0; Must have excellent communication skills (written and verbal), clinical judgment, initiative, critical thinking, and problem-solving abilities. Must be able to take after hour calls to meet business requirements as needed. Job Requirements: Education/Skills   Graduate of an accredited school of vocational nursing or equivalent required Associate?s (ADN) or Bachelor?s (BSN) in Nursing preferred   Experience   3 ? 5 years of nursing experience preferred Experience in Microsoft software (e.g., Outlook, Teams, Word, and Excel) required General computer knowledge and capability to use computers required   Licenses, Registrations, or Certifications   LVN license in the state of employment or compact required RN license in state of employment or compact preferred &#xa0; Work Schedule: 5 Days - 8 Hours Work Type: Full Time</description>
								<pubDate>Wed, 22 Apr 2026 01:09:29 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22186963/utilization-management-intensive-case-management-coordinator-after-hours</link>
								
								<title>Utilization Management Intensive Case Management Coordinator - After Hours | UCLA</title>								
								<guid isPermaLink="true">https://careers.mentalhealthamerica.net/jobs/rss/22186963/utilization-management-intensive-case-management-coordinator-after-hours</guid>
								<description>Los Angeles, California,  Description Take on a vital role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care. Take your expertise to the next level. You can do all this and more at UCLA Health. Under the direction of the Utilization Management, Assistant Director, you will play a key role in processing and managing authorization requests and care coordination support. You will: Receive urgent, routine, pre-service, and retro authorization requests Process referrals and authorizations following established procedures within the medical group utilization department Prepare and process referrals according to Delegation of Financial Responsibility (DOFR), UCLA Medical Group Medical Guidelines, and health plan contracts Identify and prepare necessary documents for the next level of review Maintain and prepare specific reports and manage computer applications and logs Conduct urgent care coordination needs for complex and high risk population Care managed, monitor, coordinate needs&#38;nbsp; of members/patients followed by Case Management Work directly with a nurse, ICM team lead and Medical Director. Review pending claims for approval or denial Salary Range: $35.47 - $ 48.82/Hourly Qualifications High school diploma, GED, or equivalent experience Experience working in a Managed Care environment, highly desired&#38;nbsp; Experience processing ambulatory managed care referrals, preferred&#38;nbsp; Proficient computer skills with working knowledge of Microsoft Excel and Word Ability to operate a variety of office equipment, including computers, printers, copiers, fax machines, scanners, and mailing equipment Ability to multi-task, work with frequent interruptions, and meet deadlines Strong attention to detail, organization, and ability to follow directions Clear and concise communication skills, both written and verbal Familiarity with Vodavi phone system Ability to lift up to 25 pounds Willing to work on the following schedule: Wednesday through Friday 1:00pm -10:00pm and Saturday, Sundays and Holidays from 8:00am - 5:00pm</description>
								<pubDate>Wed, 22 Apr 2026 00:55:35 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22178335/pediatric-psychologist-autism-center</link>
								
								<title>Pediatric Psychologist, Autism Center | Nemours Children&#39;s Health</title>								
								<guid isPermaLink="true">https://careers.mentalhealthamerica.net/jobs/rss/22178335/pediatric-psychologist-autism-center</guid>
								<description>Wilmington, Delaware,  The Swank Autism Center and the Division of Behavioral Health at Nemours Children&#39;s Health - Delaware (formerly Nemours/A.I. duPont Hospital for Children) is seeking an experienced, evidence-based psychologist to join our team. This position will focus on feeding evaluation and treatment, autism diagnostic services, and supervising trainees in working with patients and families from the larger Delaware Valley community. The Swank Autism Center provides comprehensive evaluation and intervention support services for children up to age 21 years. Our feeding services offer a person/family-centered, neurodiversity-affirming, interdisciplinary approach that includes behavioral strategies and parent-mediated support. The psychologist will be part of a multidisciplinary clinical team who will collaborate with providers in developmental medicine, psychiatry, social work, applied behavior analysis, nutrition, and therapy services, as well as colleagues who are autistic and/or caregivers. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant, neuro-affirming care, reducing health disparities, and helping build a diverse and inclusive team environment. Autistic/neurodivergent applicants would be welcomed.   Bilingual Spanish-speaking skills are highly valued. This role includes opportunities to participate in program development, leadership, advocacy, and community outreach. In addition, there will be opportunities for quality improvement and research initiatives.   Our division collaborates with our research colleagues in the Nemours Center for Healthcare Delivery Science ( https://www.nemours.org/pediatric-research/area/health-care-delivery-science.html ). Psychologists are members of the medical staff at Nemours Children&#39;s Hospital, Delaware and are supported with applying for an academic appointment through the Sidney Kimmel Medical College at Thomas Jefferson University.  What We Offer Competitive base compensation and an annual incentive plan that values clinical activity, academic accomplishments and quality improvement Comprehensive benefits: health, life, dental, vision  Mortgage assistance, relocation packages and 403B with employer match, 457 retirement savings plans Licensure, CME and dues allowance Not-for-profit status; eligibility for Public Service Loan Forgiveness A faculty appointment, consistent with level of academic achievement, will be provided at the Sidney Kimmel Medical College at Thomas Jefferson University   Qualifications PhD/PsyD degree from an APA-accredited clinical, counseling, or school psychology program. Pre-doctoral Internship training from an APA-accredited site, and at least one year of postdoctoral experience in a child-focused setting. Experience conducting diagnostic evaluations for Autism and co-occurring conditions, including experience administering and scoring the ADOS-2. Experience conducting feeding services with autistic or medically complex pediatric patients, ideally in an interdisciplinary environment, is strongly preferred. Commitment to supporting and providing culturally-informed and neurodiversity-affirming care License-eligible in the state of Delaware.   APPLICATION:   Please send a letter of interest and CV to  WLMBH-DMRecruitment@Nemours.org  and please  state &quot;Autism Psychology&quot; in the subject line.  Applications currently are being reviewed and will be accepted until the position is filled.  About Nemours :     The mission of our Psychology division is to improve well-being through quality behavioral health care, education, training, and research in a collaborative, inclusive, and culturally responsive manner.    As one of the nation&#39;s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics, primary care practices, and school-based health centers in Delaware, Florida, Maryland, New Jersey and Pennsylvania.    Nemours strives to ensure a healthier tomorrow for all children - even those who may never enter our doors - through our world-changing research, education, and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.  Psychologists are members of the medical staff at Nemours Children&#39;s Hospital, Delaware and are supported with applying for an academic appointment through the Sidney Kimmel Medical College at Thomas Jefferson University.    Nemours (Nemours.org) is an open and welcoming place to work, and values diversity in all its forms. Additionally, Nemours aspires to have its workforce and providers reflect the rich diversity of the communities we serve. Candidates of diverse backgrounds, Spanish-speaking applicants, and those committed to working with diverse populations and conversant in multicultural values are strongly encouraged to apply. Associates are encouraged to join Associate Resource Groups as members or allies to support colleagues of diverse identities and lived experiences. #LI-AW2</description>
								<pubDate>Wed, 22 Apr 2026 00:46:04 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22176934/patient-services-specialist-pediatric-mental-health</link>
								
								<title>Patient Services Specialist - Pediatric Mental Health | Baylor Scott &#38; White Health</title>								
								<guid isPermaLink="true">https://careers.mentalhealthamerica.net/jobs/rss/22176934/patient-services-specialist-pediatric-mental-health</guid>
								<description>Temple, Texas,  Working Conditions: Orientation will be conducted remotely. Training will be conducted onsite. &#xa0; Working Hours: Monday to Friday: 8:00 AM to 5:00 PM &#xa0; About Us Here at Baylor Scott &#38; White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what&#39;s right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott &#38; White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job Summary The Patient Services Specialist 1, with direct oversight, provides administrative support in a physician office, clinic, or other area. This role assists patients to ensure high-quality, patient-centered care. Duties include patient relations, check-in and check-out, scheduling, insurance verification, and answering phones. Essential Functions of the Role Assists with patient duties, including relations, check-in, check-out, scheduling, insurance verification, and answering phones. Arranges follow-up visits and referral appointments. Assists with patient registration by collecting and verifying insurance information. Verifies patient demographics and enters changes into the computer system. Directs patients to appropriate waiting areas. Accepts payments for physician/clinic services according to established guidelines. Posts payments and enters charges into computer utilizing appropriate codes. Generates daily payment reports and verifies cash drawer against report. Provides accurate patient, medical, financial or procedural information to patients or approved outside entities. May be required to discuss financial arrangements with patients. Receives and directs phone calls. Assists patients and other visitors. Responds to routine inquiries concerning practice services, hours of operation, etc. Ensures any patient complaints are handled appropriately. Assists with medical records duties as requested. Key Success Factors Good listening, interpersonal and communication (oral and written), and professional, pleasant and respectful telephone etiquette. Ability to adapt communication style to suit different audiences. Empathetic listener, sensitive, upbeat, optimistic, articulate, gracious and tactful. Ability to promptly assess requests by using electronic and paper resource materials and correctly respond to patient inquiries. Ability to calm upset patients in a composed and professional demeanor. Excellent data entry, numeric, typing and computer navigational skills, with attention to details. Comfortable working in a fast paced, constantly changing and stressful environment. Belonging Statement We believe that all people should feel welcomed, valued and supported. QUALIFICATIONS EDUCATION - H.S. Diploma/GED Equivalent EXPERIENCE - Less than 1 Year of Experience</description>
								<pubDate>Wed, 22 Apr 2026 01:12:52 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22173252/case-management-specialist-lifecare-methodist-hospital</link>
								
								<title>Case Management Specialist - LifeCare - Methodist Hospital | Indiana University Health</title>								
								<guid isPermaLink="true">https://careers.mentalhealthamerica.net/jobs/rss/22173252/case-management-specialist-lifecare-methodist-hospital</guid>
								<description>Indianapolis, Indiana,  Overview     Schedule:  Mondays: 9:30am - 6:00 pm. Tuesdays through Fridays: 8am - 4:30pm. Position Details:   Lifecare provides outpatient adult HIV treatment and prevention services in a multidisciplinary clinical setting located at Methodist Hospital. The Case Management Specialist is part of the Social Work team that supports the patients of Lifecare and is an integral part of the health care team. Location:  Methodist Hospital Department:  Lifecare Position Requirements: * High School Diploma/GED required. Associate&#39;s Degree preferred. * 1-3 years of experience required. * Requires the ability to comprehend third party contractual arrangements. * Requires basic computer skills including the ability to enter progress notes and other data in multiple medical record systems. Basic familiarity with Excel, Word, Outlook, and PowerPoint. * Requires some knowledge of anatomy, physiology, and medical terminology. * Requires some knowledge of managed care and government healthcare benefits.</description>
								<pubDate>Wed, 22 Apr 2026 00:59:14 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22160100/unit-coordinator-psychiatry-bht-full-time-days</link>
								
								<title>Unit Coordinator Psychiatry/BHT (Full Time, Days) | Nicklaus Children&#8217;s Health System</title>								
								<guid isPermaLink="true">https://careers.mentalhealthamerica.net/jobs/rss/22160100/unit-coordinator-psychiatry-bht-full-time-days</guid>
								<description>Miami,,  Description Job Summary Welcomes patients and families and performs general computer, receptionist, and clerical duties in a Nursing unit. Provides excellent customer service, supports the nursing leaders &#38;amp; staff and assists patients and families. Works under the supervision of the RN Charge Nurse/Clinical Coordinator. Supports and upholds the Patients&#39; Bill of rights. Responsible for providing patients with daily living activities. Maintains the environment to ensure the safety of staff, patients, families, and visitors. Job Specific Duties Promptly answers patient calls, transfers calls, and obtains information to effectively resolve an issue or request. Greets and welcomes patients, families, parents and visitors to the nursing unit. Provides administrative support and assists the medical and clinical teams with requests and tasks. Makes sure every guest experience is positive and lasting. Provides the guest with a &quot;Welcome Packet&quot; and assists the clinical team to support the guests to become oriented to their patient care area &#38;amp; their room. Identifies and assesses guests&#39; needs when appropriate. Maintains the nursing station organized. Maintains an appropriate inventory and orders supplies when needed. Maintains non-electronic patient medical records for code blue and trauma documentation. Scans consents and calls all consults. Requests and follows up on servicing of non-functioning equipment. Responsible for ensuring all mobile computers are charged and functioning every night. Provides continuous supervision, observation of behavioral health patients, and adheres to non-violent crisis intervention strategies (CPI). Maintains accuracy of patient placement and nursing assignments in electronic applications and unit spreadsheets Applies collaborative problem solving approach with daily and routine interactions with patients. Assists patients with activities of daily living, personal care, &#38;amp; comfort measures. &#38;nbsp;Assist with certain behavioral interventions and test/procedures under the direction and supervision of RN. Maintains a safe, clean, and organized environment for patients, staff, and visitors Provides appropriate individualized de-escalation techniques. Reports patient/family complaints and/or allegations of abuse/neglect by staff to nurse and leaders. Documents significant occurrences observed behaviors, I&#38;amp;O (if ordered), and observation findings in patient charts and reports to RN. Completes documentation and reports accurately and thoroughly on a timely basis (includes patient teaching, 15 min observations, outdoor activities, groups, etc.) Supports the onboarding and training of new team members in alignment with departmental procedures and the NCHS I-Create Way Values and Guiding Behaviors Qualifications   Minimum Job Requirements Successfully complete CPI (Crisis Intervention Training) prior to Orientation in Psychiatry department (within 7 days of hire) - maintain active and in good standing throughout employment  American Heart Association BLS - maintain active and in good standing throughout employment Level II Background Check and Affidavit of Good Moral Character 1-3 years of clerical experience (or) Behavioral Health Tech experience within Psychiatry department Completes the basic hours of orientation plus 12 hours of in-service training during first year of service   Knowledge, Skills, and Abilities High School education or equivalent preferred. Ability to manage multiple priorities. Strong time management skills. Effective verbal and written communication. Strong customer service skills. Computer literate and knowledge of printers. Fluent in Spanish is strongly preferred. Graduate of a Unit Secretarial course or medical terminology course preferred. Previous experience as a Secretary or Administrative Assistant is preferred. Strong problem solving, critical thinking and conflict resolution skills. Ability to learn appropriate software applications. Previous healthcare experience is preferred. Works effectively in a collaborative environment.     As required under the directive of House Bill 531 (2025) we are providing the link below to the Care Provider Background Screening Clearinghouse Education and Awareness website. https://info.flclearinghouse.com/     Job: Clerical/Administrative Department: PSYCHIATRY-2100-630000 Job Status: Full Time</description>
								<pubDate>Wed, 22 Apr 2026 00:44:24 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22156444/casual-psychologist-psychology-nemours-children-s-health-jacksonville</link>
								
								<title>Casual Psychologist -Psychology-Nemours Children&#39;s Health, Jacksonville | Nemours Children&#39;s Health</title>								
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								<description>Jacksonville, Florida,  Pediatric Psychologist Job Posting Specializing in Pediatric Hematology and Oncology Position Summary Nemours Children&#39;s is seeking a PRN Pediatric Psychologists with expertise in pediatric hematology and oncology. These positions are vital in supporting the Division of Pediatric Hematology/Oncology, providing comprehensive psychological services to children and adolescents with blood disorders and cancer. Key Responsibilities Deliver outpatient psychological care to pediatric hematology/oncology patients and their families at Nemours Children&#39;s Health in Jacksonville, FL. Provide inpatient consultative psychological services at Wolfson Children&#39;s Hospital, collaborating with multidisciplinary teams. Conduct psychological assessments, develop treatment plans, and offer evidence-based interventions for children coping with chronic illness and emotional challenges related to their diagnosis. Participate in multidisciplinary rounds, team meetings, and collaborative patient care planning. Support family adjustment and provide psychoeducation to patients, families, and medical staff. Engage in quality improvement initiatives and program development within the division. Qualifications Doctoral degree (PhD or PsyD) in Clinical, Counseling, or School Psychology from an APA-accredited program. Completion of an APA-accredited internship with specialized experience in pediatric psychology. Postdoctoral fellowship or equivalent experience in pediatric hematology/oncology preferred. Current or eligible for Florida licensure as a psychologist. Demonstrated experience providing psychological services to children with chronic or life-threatening medical conditions. Demonstrates strong abilities in assessment, intervention, consultation, and working collaboratively across disciplines. Opportunities for research are both available and encouraged, as is an interest in supervising pre-doctoral and post-doctoral students, fellows, and medical residents. About the Work Environment These positions offer the opportunity to work in a dynamic, supportive, and innovative pediatric health care setting. The psychologists will collaborate closely with physicians, advanced practice providers, nurses, social workers, and other allied health professionals dedicated to improving the lives of children and families affected by hematologic and oncologic conditions. What We Offer: No state income tax in Florida  Competitive compensation  Comprehensive benefits: health, life, dental, vision  Mortgage assistance, relocation packages and 403B with employer match, 457 retirement savings plans  Licensure, CME and dues allowance  Not-for-profit status; eligibility for Public Service Loan Forgiveness  If you&#39;re looking for a position that will allow you to enjoy a work-life balance, have an opportunity for professional growth, and focus on pediatric behavioral healthcare, this is the opportunity for you. Employer Information   Nemours Children&#39;s Health is an internationally recognized children&#39;s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children&#39;s hospitals -- Nemours Children&#39;s Hospital, Delaware and Nemours Children&#39;s Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.   As one of the nation&#39;s premier pediatric health systems, we&#39;re on a journey to discover better ways of approaching children&#39;s health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child&#39;s world a place to thrive. It&#39;s a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.   Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.   To learn more about Nemours Children&#39;s and how we go well beyond medicine, visit us at  www.nemours.org .   Organization Description   At Nemours Children&#39;s, our providers and associates work together across specialties, clinics and hospitals, to give children care that&#39;s among the safest, most caring and compassionate. As part of a pediatric health system with both clinical and academic partnerships, we are 100% focused on ensuring a healthier future for children. We strive for excellent outcomes across all of our medical and surgical specialties - and we measure these outcomes in order to provide consistent, top-rated care.   We aspire to build a workforce of providers that support the needs of the communities we serve and create a sense of belonging for our patients and families. Nemours Children&#39;s is committed to equal opportunity in welcoming candidates of all backgrounds to apply. Any preference or exclusion based on a protected characteristic is strictly prohibited. To learn more,  click here .   Nemours Children&#39;s Health, Jacksonville Our colleagues at  Nemours Children&#39;s Health, Jacksonville , work with Wolfson Children&#39;s Hospital, University of Florida College of Medicine-Jacksonville, UF Health/Shands Hospital and Mayo Clinic Florida to provide life-changing care for kids, newborns to age 18, with common and complex conditions.   Our medical,  academic  and  research  collaborations mean world-renowned treatments are available to children and families of Northeast Florida. In addition to board-certified pediatric specialists selected as some of the  &quot;Best Doctors in America(r)&quot;  year after year, families choose us for: Pediatric programs recognized among the best in the country (Neurology and Neurosurgery, Behavioral Health, and Cancer, U.S. News &#38; World Report) One of only two pediatric cancer programs in the country recognized for outstanding achievement by the American College of Surgeons Among a select blood and bone marrow transplant programs accredited by the Foundation for Accreditation of Cellular Therapies (FACT) Nationally-accredited Cystic Fibrosis Care Center Certified Center of Excellence by the American Diabetes Association (ADA) Leading-edge procedures, including cochlear implants and urologic robotic surgery in the tiniest newborns Jacksonville, FL  Living in Jacksonville, Florida, offers a dynamic blend of urban amenities and coastal charm. As the largest city by area in the contiguous US, Jacksonville provides diverse neighborhoods, ranging from historic districts to modern developments. Residents enjoy an array of outdoor activities with miles of beaches, rivers and parks for boating, fishing and hiking. The city is known for its cultural scene, including museums, theaters, and annual events like the Jacksonville Jazz Festival. With a growing economy and a welcoming community, Jacksonville provides a vibrant lifestyle with a laid-back Southern atmosphere. Application Process Interested candidates should submit a CV, cover letter, and list of professional references to  Amanda.Lochrie@nemours.org . Applications will be reviewed on a rolling basis until the positions are filled. Nemours Children&#39;s is committed to diversity and inclusion and encourages applications from all qualified individuals.</description>
								<pubDate>Wed, 22 Apr 2026 00:46:04 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22157412/utilization-management-nurse-ii-case-management-full-time</link>
								
								<title>Utilization Management Nurse II - Case Management - Full Time | CHRISTUS Health</title>								
								<guid isPermaLink="true">https://careers.mentalhealthamerica.net/jobs/rss/22157412/utilization-management-nurse-ii-case-management-full-time</guid>
								<description>Beaumont, Texas,  Description Summary: The Utilization Management Nurse II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services &quot;CMS&quot; Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and Joint Commission regulations and guidelines related to UM. This Nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. Responsibilities:  Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.   Applies demonstrated clinical competency and judgment in order to perform comprehensive assessments of clinical information and treatment plans and apply medical necessity criteria in order to determine the appropriate level of care.   Resource/Utilization Management appropriateness: Assess assigned patient population for medical necessity, level of care, and appropriateness of setting and services. Utilizes MCG/InterQual Care Guidelines and/or health system-approved tools to track impact and variance.   Uses appropriate criteria sets for admission reviews, continued stay reviews, outlier reviews, and clinical appropriateness recommendations.   Coordinate and facilitate correct identification of patient status.   Analyze the quality and comprehensiveness of documentation and collaborate with the physician and treatment team to obtain documentation needed to support the level of care.   Facilitates joint decision-making with the interdisciplinary team regarding any changes in the patient status and/or negative outcomes in patient responses.   Demonstrates, maintains, and applies current knowledge of regulatory requirements relative to the work process in order to ensure compliance, i.e. IMM, Code 44.   Demonstrate adherence to the CORE values of CHRISTUS.   Utilize independent scope of practice to identify, evaluate and provide utilization review services for patients and analyze information supplied by physicians (or other clinical staff) to make timely review determinations, based on appropriate criteria and standards.   Take appropriate follow-up action when established criteria for utilization of services are not met.   Proactively refer cases to the physician advisor for medical necessity reviews, peer-to-peer reviews, and denial avoidance.   Effectively collaborate with the Interdisciplinary team including the Physician Advisor for secondary reviews.   Proactively review patients at the point of entry, prior to admission, to determine the medical necessity of a requested hospitalization and the appropriate level of care or placement for the patient.   Review surgery schedule to ensure planned surgeries are ordered in the appropriate status and that necessary authorization has been obtained as required by the payor or regulatory guidance (i.e., CMS Inpatient Only List, Payor Prior Authorization matrix, etc.)   Regularly review patients who are in the hospital in Observation status to determine if the patient is appropriate for discharge or if conversion to inpatient status is appropriate.   Proactively identify and resolve issues regarding clinical appropriateness recommendations, coverage, and potential or actual payor denials.   Maintain consistent communication and exchange of information with payors as per payor or regulatory requirements to coordinate certification of hospital services.   Coordinate and facilitate patient care progression throughout the continuum and communicate and document to support medical necessity at each level of care.   Evaluate care administered by the interdisciplinary health care team and advocate for standards of practice.   Analyze assessment data to identify potential problems and formulate goals/outcomes.   Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPPA) designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).   Attend scheduled department staff meetings and/or interdepartmental meetings as appropriate.   Possesses and demonstrates technology literacy and the ability to work in multiple technology systems.   Act as a catalyst for change in the organization; respond to change with flexibility and adaptability; demonstrate the ability to work together for change.   Translate strategies into action steps; monitor progress and achieve results.   Demonstrate the confidence, drive, and ability to face and overcome challenges and obstacles to achieve organizational goals.   Demonstrate competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department.   Possess negotiating skills that support the ability to interact with physicians, nursing staff, administrative staff, discharge planners, and payers.   Excellent verbal and written communication skills, knowledge of clinical protocol, normative data, and health benefit plans, particularly coverage and limitation clauses.   Must adjust to frequently changing workloads and frequent interruptions.   May be asked to work overtime or take calls.   May be asked to travel to other facilities to assist as needed.   Actively participates in Multidisciplinary/Patient Care Progression Rounds.   Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director.   Documents in the medical record per regulatory and department guidelines.   May be asked to assist with special projects.   May serve as a preceptor or orienter to new associates.   Assumes responsibility for professional growth and development.   Familiarity with criteria sets including InterQual and MCG preferred.   Must have excellent verbal and written communication and ability to interact with diverse populations.   Must have critical and analytical thinking skills.   Must have demonstrated clinical competency.   Must have the ability to Multitask and to function in a stressful and fast-paced environment.   Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.   Must have an understanding of pre-acute and post-acute levels of care and community resources.   Must have the ability to work independently and exercise sound judgment in interactions with physicians, payors, patients, and their families.   Must have an understanding of internal and external resources and knowledge of available community resources.   Other duties as assigned. Job Requirements: Education/Skills  Graduate of an accredited School of Nursing OR demonstrated success in the Utilization Management Nurse I role for at least five years at CHRISTUS Health on top of required experience in lieu of education required.    Experience  Two or more years of clinical experience with at least one year in the acute care setting OR demonstrated success as Utilization Management Nurse I role at CHRISTUS Health required.    Licenses, Registrations, or Certifications  RN License in state of employment or compact required.   LPN or LVN license accepted for associates with 5+ years of demonstrated success and experience in the Utilization Management Nurse I role at CHRISTUS Health.   Certification in Case Management preferred.   BLS preferred. &#xa0; Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time</description>
								<pubDate>Wed, 22 Apr 2026 01:09:29 -0400</pubDate>
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									<link>https://careers.mentalhealthamerica.net/jobs/rss/22149630/behavioral-health-therapist</link>
								
								<title>Behavioral Health Therapist | Nemours Children&#39;s Health</title>								
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								<description>Wilmington, Delaware,  Nemours is seeking a Licensed Behavioral Health Therapist (10 months) to join the Nemours Children&#39;s Health team in Wilmington, DE working in the Christina School District as part of our School-Based Health Centers.  The Licensed Behavioral Health Therapist will follow the Christina School District teacher calendar, with the expectation of working an additional 1-2 weeks before and/or after the school year.  Our ideal candidate would be skilled at working with interprofessional medical and educational teams to deliver integrated, evidence-based care. This position will focus on providing group and individual evidence-based therapy, consultation and coordination with teams, screening and referral, and professional development. Strong interpersonal skills are essential, as well as a desire to collaborate with other professionals in a mission-driven environment to make a strong positive impact on the community. Essential Functions 1. Day to day activities will be within the SBHC team, and the therapist will also be linked to the Division of Behavioral Health at Nemours.  2. Teaching, training, and mentoring are core values in our division and these efforts are supported and encouraged.  3. We are committed to expanding the pathway to a diverse workforce and as such, are intentional in our hiring and retention practices.  4. We practice continuous learning through awareness-enhancing and bias reduction educational opportunities that guide our overarching lens of health equity.  5. Additional miscellaneous duties and responsibilities, as may be assigned from time to time by employee&#39;s supervisor. Requirements Master&#39;s degree from an accredited social work, counseling, or marriage and family therapy program. Delaware Independent licensure (LCSW, LPCMH, LMFT) prior to starting in the role is required (i.e. can have license in another state but must obtain DE license before starting). Three to five years of experience   #LI-MR1</description>
								<pubDate>Wed, 22 Apr 2026 00:46:04 -0400</pubDate>
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