- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Behavioral Health Utilization Review Specialist? At Parallon, you come first. ... you have the opportunity to make a difference. We are looking for a dedicated Behavioral Health Utilization Review Specialist like you to be a part of our… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Behavioral Health Utilization Review Specialist you want with your current ... committed, caring group of colleagues. Do you want to work as a Behavioral Health Utilization Review Specialist where your passion for creating positive… more
- AmeriHealth Caritas (Charleston, SC)
- …www.amerihealthcaritas.com . **Responsibilities:** Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer is ... in OH, LA, NC, and DC.; + Minimum of 2 years of behavioral health and substance use disorder experience.; + Utilization management experience in a managed… more
- Centene Corporation (Phoenix, AZ)
- …must reside in Arizona for this remote position.** **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure ... day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with… more
- Humana (Frankfort, KY)
- …our caring community and help us put health first** The Manager, Behavioral Health Utilization Management uses clinical knowledge, communication skills, ... managers across the department. **_Detailed Responsibilities include:_** Leads Kentucky Medicaid Behavioral Health Utilization Management process and teams… more
- CVS Health (Frankfort, KY)
- … utilization /benefit management program. **Required Qualifications** + Licensed independent behavioral health clinician with Kentucky state licensure (LCSW, ... **Position Summary** This Clinical Consultant position is with Aetna's Utilization Management (UM) team and is a work from...States. The requirements is for candidates to hold a Behavioral health clinician or Registered Nursing with… more
- Corewell Health (St. Joseph, MI)
- …patients through the continuum appropriately. Oversees the intake for the acute care behavioral health unit and ensure the completion of admission paperwork, ... of inpatient admissions and continued stay. Educates medical staff/other health care professionals regarding utilization management and...- 1234 Napier Ave - St Joseph Department Name Behavioral Health - St Joseph Employment Type… more
- Humana (Columbus, OH)
- …us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- Elevance Health (Los Angeles, CA)
- …care. The **Manager II Behavioral Health Services** will be responsible for Behavioral Health Utilization Management (BH UM), or Behavioral ... **Manager II Behavioral Health Services** **Location:** This position...appropriateness of care for inpatient/outpatient BH services; ensures appropriate utilization of BH services through level of care determination,… more
- Elevance Health (Houston, TX)
- …Grand Prairie, TX The **Manager Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral ... **Manager Behavioral Health Services** The ideal candidate...and education to customers and internal staff for efficient utilization of BH services; supports process improvement and quality… more
- CVS Health (Salt Lake City, UT)
- …the Mountain Time (MST), Pacific Time (PST), or Arizona time zones. As a ** Utilization Management Clinician Behavioral Health ** you will: - Utilize clinical ... /benefit management function. **Required Qualifications** - Valid unrestricted independent professional behavioral health clinical license to practice per state… more
- St. Peters Health (Helena, MT)
- …and crises, stress-related physical symptoms and ineffective patterns of healthcare utilization . Behavioral health services include assessment, treatment ... JOB SUMMARY: The Behavioral Health Professional (BHP) is an integral member of the primary care team who works to identify, triage and support patients with … more
- Elevance Health (Indianapolis, IN)
- …Chicago IL, or Atlanta GA, Woodland Hills, CA. **Summary** The Behavioral Health Chief Medical Officer oversees Utilization Review, Peer Review and the ... Management:** Prior leadership role in a managed care environment and possess strong utilization management experience. + ** Behavioral Health & Chemical… more
- Centene Corporation (New York, NY)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... licensure as outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review… more
- Adelante (Phoenix, AZ)
- … health issues and providers education to assist with enhancing primary care utilization of behavioral health interventions + Promote a smooth interface ... Behavioral Health Consultant Job Details Job...+ Demonstrate an understanding of facility organizational structure by utilization of appropriate channels of communication. Maintain consistent, timely… more
- HCA Healthcare (Dulles, VA)
- …Hospital Center! **Manages the day-to-day operations of the Behavioral Health Nursing Department through effective utilization of self, shift House ... **Introduction** Do you have the career opportunities as a Nurse Manager Behavioral Health you want in your current role? We invest in what matters… more
- Spectrum Billing Solutions (Skokie, IL)
- …meetings and case conference reviews. Minimum requirements: + 3-5 years of experience in utilization review for behavioral health services. + Bachelor's or ... for healthcare organizations. We are looking to add a Utilization Review (UR) Supervisor to our growing team. The...(Word, Excel, billing software). + Understanding of mental and behavioral health treatment services. At Spectrum, you… more
- Lincoln Financial (Columbus, OH)
- … setting including 1 year in claims, disability management (STD/LTD), worker's compensation, utilization review, and or behavioral health case management . ... at a Glance** We are excited to bring on a knowledgeable and motivated Behavioral Health Consultant to our Clinical Organization. As a Behavioral Health … more
- Tufts Medicine (Malden, MA)
- …strategic plan, ensuring integration with Tufts Medicine's overall behavioral health strategy. + Oversee clinical resource management, utilization review, ... system in Massachusetts, and Acadia Healthcare, the nation's largest standalone behavioral health provider, have partnered to establish the Tufts Medicine… more
- UPMC (Jamestown, NY)
- …or a licensed Registered Nurse. + Minimum of 3 years of experience in behavioral health , clinical care, utilization management, home care, discharge ... across the healthcare continuum, working with physicians, case managers, pharmacy, and behavioral health providers. + Provide expert referrals and connect… more
Related Job Searches:
Behavioral,
Behavioral Health,
Behavioral Health Utilization Manager,
Health,
Utilization,
Utilization Management Behavioral Health,
Utilization Review Behavioral Health