- Centene Corporation (Austin, TX)
- …IS REMOTE IDEAL CANDIDATE WILL HAVE BCBA CERTIFICATION **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
- Baylor Scott & White Health (Dallas, TX)
- …+ Experience working with Substance use treatment experience and/or behavioral health treatment + Experience with Utilization Management for Substance use ... and improving care quality. **Essential Functions of the Role** + Process all Behavioral Health and Substance Use Disorder authorizations within the designated… more
- Actalent (Sunrise, FL)
- Utilization Management Behavioral Health ClinicianUtilization Management Behavioral Health Clinician We're seeking a dedicated Behavioral ... collaborate with an interdisciplinary team to review and authorize behavioral health and substance use services, ensuring...Conduct utilization reviews and service authorizations for behavioral health and substance use treatments. +… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** The Sr Clinician, Behavioral Health Utilization Review will review behavioral health and ... behavioral health managed care preferred + Experience in behavioral health utilization review or medical necessity evaluation preferred **Required… more
- Independent Health (Buffalo, NY)
- …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Behavioral Health Utilization Review Clinician will primarily be ... responsible for managing behavioral health benefits through utilization management functions as well as case management activities. **Qualifications** +… more
- Sutter Health (Berkeley, CA)
- …staff changes, workload, or technical development)._ **DEPARTMENT REQUIRED EDUCATION** Department, Behavioral Health : Master's in Social Work or related field ... We are so glad you are interested in joining Sutter Health ! **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** Accumulates, interprets, and… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Director of Utilization Review (UR) in a behavioral health setting oversees the UR process, ensuring appropriate and cost-effective care while adhering ... or without notice. Knowledge Skills and Abilities . Relevant experience in utilization management, behavioral health , or a related clinical setting. . Strong… more
- Centene Corporation (Columbus, OH)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... central or eastern time zone with experience in mental health settings and utilization management / review....outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and… more
- Elevance Health (Miami, FL)
- **JR153784 Behavioral Health Care Manager II** The Behavioral Health Care Manager II is a utilization management role and is responsible for ... resources. + Will serve as a resource to other Behavioral Health Care Managers. + Assists with...is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with… more
- Elevance Health (Los Angeles, CA)
- …Experiences:** + 2+ years of experience in a managed care organization in a utilization management behavioral health role preferred. For candidates working ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with… more
- Eastern Connecticut Health Network (Manchester, CT)
- …field is required. EXPERIENCE: + Minimum of ten (10) years of experience in the Behavioral Health field with Utilization Review required. + Must have ... POSITION SUMMARY: This position is responsible for maximizing access to inpatient behavioral health care and patient movement for the Department of Behavioral… more
- Adelante (Mesa, AZ)
- … health issues and providers education to assist with enhancing primary care utilization of behavioral health interventions + Promote a smooth interface ... Behavioral Health Consultant - Mesa, AZ...+ Demonstrate an understanding of facility organizational structure by utilization of appropriate channels of communication. Maintain consistent, timely… 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
- Center For Health Information And Analysis (Boston, MA)
- …in the areas such as health care coverage and affordability, behavioral health , health care utilization , health care equity and social ... At the Center for Health Information and Analysis (CHIA), we serve as...products. This is your chance to optimize the team's utilization of CHIA's data resources and other assets, fostering… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of consistent and quality health care services. Examples may include Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian ... health care cost drivers. Essential Accountabilities: Level I * Handles behavioral health member clinical management programs. * Maintains knowledge of… more
- CVS Health (Frankfort, KY)
- …clinically appropriate treatment, evidence-based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... /benefit management function. **Required Qualifications** + **_Kentucky Licensed Independent Behavioral Health Clinician (_** **_LPCC, LCSW, LMFT, LPAT_**… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- Pacific Medical Centers (Renton, WA)
- …and maintained ongoing + 5 years Clinical experience. + 2 years In a Behavioral Health setting. + Utilization review/case management. **Why Join ... Managed Care patient in order to assure cost effective, appropriate utilization of health care resource. Case Manager manages, directs, and coordinates the… more
- AdventHealth (Glendale Heights, IL)
- …you'll need to succeed** + Associate's of Nursing Required + RN experience in behavioral health preferred + Must be able to demonstrate knowledge and skills ... positions + Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support + Debt-free Education (Certifications and Degrees without… more
- HCA Healthcare (Richmond, VA)
- …want to join an organization that invests in you as a(an) Case Manager Behavioral Utilization Management? At Chippenham Hospital, you come first. HCA Healthcare ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...difference. We are looking for a dedicated Case Manager Behavioral Utilization Management like you to be… more
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