- Elevance Health (Wallingford, CT)
- …considered. This position will be directly responsible for Behavioral Health Utilization Management (BH UM) only The ** Manager Behavioral Health ... is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral ...or federal requirements that may apply; provided that the manager 's director has one of the types of licensures… 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
- Beth Israel Lahey Health (Burlington, MA)
- …job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ... Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and monitors quality assurance for Lahey Clinic inpatient… more
- Highmark Health (Sacramento, CA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If located within a 50 mile radius of a Highmark office in PA, DE, WV or NY this is a hybrid role ... deliver engaging and informative product demonstrations and walkthroughs. + ** Utilization Management & Clinical Expertise:** + Utilization ...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Beth Israel Lahey Health (Burlington, MA)
- …for /Managed Care, Physician Advisors Works collaboratively managing the process of Utilization Review throughout the system **As a health care organization, ... a job, you're making a difference in people's lives.** Manages the Utilization Management (UM) team, maintaining effective and efficient processes for determining… more
- 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
- CVS Health (Norman, OK)
- …Using holistic approach consults with manager , Medical Directors and/or other physical/ behavioral health support staff and providers to overcome barriers to ... coordinating all care management activities with members to evaluate the medical and behavioral health needs to facilitate the member's overall wellness. +… more
- Elevance Health (Cerritos, CA)
- …and depression, and insightful analytics to improve the delivery of care. **Title:** Behavioral Health Care Manager II **Location:** Woodland Hills, CA ... and ensures essential face-to-face onboarding and skill development. The ** Behavioral Health Care Manager II**...of experience in a managed care organization in a utilization management behavioral health role… more
- CVS Health (Austin, TX)
- …compassionate. And we do it all with heart, each and every day. **Clinical Case Manager Behavioral Health ** **Position Summary** This is a remote role, ... + Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate… more
- 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
- CVS Health (Parsippany, 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...in Morris and surrounding counties. **Required Qualifications** + Active Behavioral Health license in NJ such as… more
- Elevance Health (Winston Salem, NC)
- ** Behavioral Health Care Manager I** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... on holidays as part of a rotating schedule._ The ** Behavioral Health Care Manager I**...Skills, Capabilities and Experiences:** + Previous experience in case management/ utilization management with a broad range of experience with… more
- CVS Health (Columbus, OH)
- …+ Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... care issues through established channels. + Ability to speak to medical and behavioral health professionals to influence appropriate member care. + Utilizes… more
- CVS Health (North Brunswick, 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 Exp + 1+ years of… more
- Elevance Health (Los Angeles, CA)
- Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires associates to ... **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement, with a...quality outcomes. + Analyzes provider reports pertaining to cost, utilization , and outcomes, and presents the data to providers… more
- CVS Health (Harrisburg, PA)
- …issues. * Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the ... care issues through established channels * Ability to speak to medical and behavioral health professionals to influence appropriate member care. * Utilizes… more
- Elevance Health (Ashburn, VA)
- The ** Behavioral Health Care Manager I - Virginia** is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...qualifications, skills, and experiences: + Previous experience in case management/ utilization management with a broad range of experience with… more
- CVS Health (Hackensack, NJ)
- …New Jersey Choice Certification = $10,000** + **External = $7500** **Clinical Case Manager - Behavioral Health (MLTSS/D-SNP)** **Location: Bergen County, NJ ... local travel required)** **Position Summary:** We are seeking a dedicated Clinical Case Manager - Behavioral Health to develop, implement, and support… more
- Elevance Health (Ashburn, VA)
- ** Behavioral Health Case Manager ...are required for this position. + Experience with the utilization of Motivation Interviewing as well as being able ... **Preferred Locations:** Richmond, VA, Roanoke, VA, Arlington, VA, Norfolk, VA The ** Behavioral Health Case Manager I** is responsible for performing case… more
- Humana (Oklahoma City, OK)
- …our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health ... services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health works...determinations. The Manager , Utilization Management Behavioral Health works within specific guidelines and… more
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