- buyer (New York, NY)
- …You can come to work being proud of what you do every day.The Children's Behavioral Health Care Manager (BH CM) works in the Children's Special Services ... activities in accordance with New York State and MetroPlusHealth Utilization Management policies and procedures for diversionary...LMSW, or LMHC NY State LicenseMinimum 3 years of Behavioral Health (Serious Mental Illness & Substance… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …Process and therapeutic use of self. The LPN assesses and monitors patient's health status and physical care needs at admission and while client's are receiving ... patients in all aspects of medication self-administration and all management of medication and other patient care supplies. The...and other patient care supplies. The LPN also provides health education for patients and families as needed or… more
- Geisinger (Wilkes-Barre, PA)
- …new emergency treatment roomsCreating dedicated emergency room (ER) space for behavioral health patientsExpanding trauma capabilities24 new intensive care unit ... and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/08/2025Job ID: R-78452Job… more
- Geisinger (Wilkes-Barre, PA)
- …new emergency treatment roomsCreating dedicated emergency room (ER) space for behavioral health patientsExpanding trauma capabilities24 new intensive care unit ... and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/09/2025Job ID: R-78486Job… more
- Range Mental Health Center (Hibbing, MN)
- …communities), 2) advance integration of behavioral health with physical health care, and 3) improve utilization of evidence-based practices on a more ... Job Title: Mental Health Practitioner ARMHS/Targeted Case Management Job... Center is proud to be a Certified Community Behavioral Health Clinic (CCBHC). The goals of… more
- Aurora Mental Health & Recovery (Aurora, CO)
- …degree. Or Bachelor's Degree in unrelated field with at least one year of behavioral health experience. Valid Colorado Drivers Licenses with a clean driving ... wide range of services, from peer support to medication management , directly within the client's environment. As the ACT...one within 30 days of hire. Demonstrated interest in behavioral health field Ability to assess crisis… more
- Aurora Mental Health & Recovery (Aurora, CO)
- …degree. Or Bachelor's Degree in unrelated field with at least one year of behavioral health experience. Valid Colorado Driver's License with a driving record ... to grow your clinical skills while providing comprehensive case management , advocacy, and support to help clients maintain stable...one within 30 days of hire. Demonstrated interest in behavioral health field Ability to assess crisis… more
- InterDent (Amboy, WA)
- …Develop, implement, and monitor clinical guidelines, quality improvement initiatives, and utilization management processes to enhance patient outcomes and ... implement value-based care initiatives, alternative payment methodologies (APMs), and medical-dental- behavioral health integration programs. Provide clinical mentorship,… more
- BPA Health Inc (Boise, ID)
- …preferred Provider Network Management experience preferred Knowledge of Idaho behavioral health market, trends and related issues preferred Experience with ... maximize patient experience and health while reducing overall cost of behavioral health conditions and care. The successful candidate possesses expertise,… more
- Inside Higher Ed (Augusta, GA)
- …and adults, including cardiovascular biology and disease, cancer, neurosciences and behavioral sciences, public and preventive health , regenerative and ... patient is 21yo). Provider would provide assistance with development of symptom management plans (for both inpatient and home use), psychosocial support for… more
- SR International, Inc. (Phoenix, AZ)
- …Only/Mostly Remote/Onsite Trainings) Skills Required: *Medical nursing practice, medical case management protocols, quality management and utilization review ... LTC, chronic long-term elderly and physical disabled, developmentally disabled, behavioral /mental health , and Tribal *Healthcare delivery system nationally… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- Centene Corporation (Phoenix, AZ)
- …to member care, provider interactions, and facilitates operations within utilization management . + Oversees the behavioral health (BH) utilization ... person meetings at our Tempe and/or Tucson offices.** **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure… more
- Actalent (Sunrise, FL)
- …and present reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health , and mental ... Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing… more
- Omaha Children's Hospital (Omaha, NE)
- …equal opportunity employer including veterans and people with disabilities. **A Brief Overview** Utilization Management (UM) is a specialty area of Nursing Case ... variety of settings. + Skills in negotiation and problem solving with utilization management . + Should be a creative, flexible, risk taker. **Licenses and… more
- CVS Health (AZ)
- …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate,...a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM… more
- Molina Healthcare (GA)
- …professionals in some or all of the following functions: care management , utilization management , behavioral health , care transitions, long-term ... or more of the following areas: utilization management , care management , care transitions, behavioral health , long-term services and supports (LTSS),… more
- Molina Healthcare (Los Angeles, CA)
- …professionals in some or all of the following functions: care management , utilization management , behavioral health , care transitions, long-term ... Job Duties** * Assists in implementing health management , care management , utilization management , behavioral health and other program… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health , Pharmacy, Registered ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
