• Manager , Utilization Management…

    Humana (Frankfort, KY)
    …part of our caring community and help us put health first** The Manager , Behavioral Health Utilization Management uses clinical knowledge, ... managers across the department. **_Detailed Responsibilities include:_** Leads Kentucky Medicaid Behavioral Health Utilization Management process and teams… more
    Humana (04/26/25)
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  • Case Manager Utilization Review…

    Beth Israel Lahey Health (Burlington, MA)
    …taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center ... Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and monitors quality assurance for Lahey Clinic inpatient… more
    Beth Israel Lahey Health (04/16/25)
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  • Manager Behavioral Health

    Elevance Health (Houston, TX)
    ** Manager Behavioral Health Services**...Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH ... and education to customers and internal staff for efficient utilization of BH services; supports process improvement and quality...UM: MS in social work, counseling, psychology or related behavioral health field or a degree in… more
    Elevance Health (04/17/25)
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  • Manager II Behavioral Health

    Elevance Health (Los Angeles, CA)
    ** Manager II Behavioral Health Services**... Health Services** will be responsible for Behavioral Health Utilization Management (BH UM), ... A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental… more
    Elevance Health (04/16/25)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. To support the mission ... of Helio Health , theUtilization Case Manager will enhance the...and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a… more
    Helio Health Inc. (04/02/25)
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  • Manager , Care Coordination (RN)…

    Stanford Health Care (Palo Alto, CA)
    …for preventive care, telemedicine through Teledoc, prescription drug coverage, and behavioral health coverage. Additional incentives exist for healthy choices. ... practice. Here, your leadership, coaching, and mentoring would further develop our robust, Utilization Management team. Are you driven by health care innovation,… more
    Stanford Health Care (02/22/25)
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  • Behavioral Health Care…

    Elevance Health (Columbus, OH)
    …for autism and depression, and insightful analytics to improve the delivery of care._ ** Behavioral Health Care Manager II** **Location:** This is a remote, ... of our Elevance Health PulsePoint locations. The ** Behavioral Health Care Manager II**...**Preferred Skills, Capabilities and Experiences** : + Experience in Utilization Management preferred. + Board Certified Behavioral more
    Elevance Health (04/17/25)
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  • Clinical Case Manager Behavioral

    CVS Health (Chicago, IL)
    …And we do it all with heart, each and every day. This Clinical Case Manager - Behavioral Health position is with Aetna's Long-Term Services and ... 60804, 60651, 60642, 60622, 60654, 60647, 60639. **Position Summary** The Clinical Case Manager , Behavioral Health , is responsible for driving and supporting… more
    CVS Health (04/19/25)
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  • Behavioral Health Care…

    Magellan Health Services (San Diego, CA)
    …and implement solutions that directly influence quality of care. General Job Information Title Behavioral Health Care Manager Remote, must be Licensed and ... being Monday-Friday 8:30-5pm pacific. + A California active independent behavioral health or RN (with psychiatric/ behavioral...other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse… more
    Magellan Health Services (02/13/25)
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  • Clinical Case Manager Behavioral

    CVS Health (Middletown, NJ)
    …critical thinking skills in order to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager will be ... responsible for documenting accurately and timely in the electronic health record. This position requires the care manager...or Licensed Social Worker in NJ + 2+ years Behavioral Health experience + Successful completion of… more
    CVS Health (04/20/25)
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  • Clinical Case Manager Behavioral

    CVS Health (Trenton, NJ)
    …completing medication reconciliation, provider referrals for aftercare and locating community based behavioral health resources as well as locating resources for ... holidays and no on call** . The Clinical Case Manager utilizes advanced clinical judgment and critical thinking skills...of direct clinical practice experience + Master's degree in behavioral health field with unrestricted license in… more
    CVS Health (04/25/25)
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  • Clinical Case Manager Behavioral

    CVS Health (Chicago, IL)
    …all case management activities with members to evaluate the medical needs and behavioral health needs of the member to facilitate the member's overall ... candidates residing in the Chicago area. BH Clinical Case Manager is responsible for telephonically and/or face to face...clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers… more
    CVS Health (04/25/25)
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  • Manager of Behavioral Health

    Elevance Health (Norfolk, VA)
    …successful candidate will reside and hold licensure in the state of Virginia.** The ** Manager of Behavioral Health - Virginia SED/SMI Case Management** will ... be responsible for leading a team of behavioral health clinicians and non-licensed support staff...Manager is preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
    Elevance Health (04/11/25)
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  • Behavioral Health Care…

    Elevance Health (Latham, NY)
    **JR148983 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (04/18/25)
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  • Behavioral Health Case…

    Banner Health (Phoenix, AZ)
    …today. Banner University Medical Center - Phoenix wants you to bring your passion for Behavioral Health to Banner Health ! Our 22 Bed Voluntary Psych Unit ... of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through...Employees working at BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children… more
    Banner Health (04/25/25)
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  • Behavioral Health Care…

    Elevance Health (IN)
    …for autism and depression, and insightful analytics to improve the delivery of care. ** Behavioral Health Care Manager I** **Location:** 220 Virginia Ave., ... Elevance Health PulsePoint office listed above. The ** Behavioral Health Care Manager I**...requirement for this position. + Previous experience in case management/ utilization management with a broad range of experience with… more
    Elevance Health (04/16/25)
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  • PRN Behavioral Health Case…

    Banner Health (Phoenix, AZ)
    …**Banner University Medical Center** - Phoenix wants you to bring your passion for Behavioral Health to Banner Health ! Our 22 Bed Voluntary Psych ... of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through...Employees working at BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children… more
    Banner Health (03/12/25)
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  • Patient Care Manager Behavioral

    Munson Healthcare (Traverse City, MI)
    …direct clinical services to patients within Munson Medical Center Inpatient Behavioral Health services. Clinical services include assessment, diagnosis, ... Patient Care Manager IP BH Job Code: 1047 Job Summary...Certification, Licensure, Registration Comments Minimum Michigan License to provide behavioral health counseling May be a LMSW,… more
    Munson Healthcare (04/24/25)
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  • Behavioral Health Case…

    Elevance Health (Arlington, VA)
    ** Behavioral Health Case Manager ...are required for this position. + Experience with the utilization of Motivation Interviewing as well as being able ... locations. **Locations:** Richmond, VA, Roanoke, VA, Arlington, VA, Norfolk, VA The ** Behavioral Health Case Manager I** is responsible for performing case… more
    Elevance Health (04/08/25)
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  • Registered Nurse Case Manager -Child…

    Hackensack Meridian Health (Maywood, NJ)
    …& post-acute services. RN Case Manager is for Child and Adolescent Outpatient Behavioral Health located at the Wellness Center in Maywood. Hours are 12:00p - ... a leader of positive change. The **Registered Nurse Care Manager ** is a member of the healthcare team and...of care, and concurrent patient management. + Knowledge of health care delivery system, utilization and review… more
    Hackensack Meridian Health (04/22/25)
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