- Molina Healthcare (Springfield, MA)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... other clinical programs. * Collaborates with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management ( UM ) policies and… more
- Molina Healthcare (Springfield, MA)
- null Pay Range: $30.37 - $59.21 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
- Elevance Health (Rocky Hill, CT)
- …disorder facility-based and outpatient professional treatment health benefits through telephonic or written review . The BH Care Manager ( UM ) job progression ... **JR168947 Behavioral Health Care Manager II** Responsible for managing psychiatric and...behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to… more
- Highmark Health (Hartford, CT)
- …and/or triaging members to appropriate resources for additional support. + Implement care management review processes that are consistent with established ... in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + 1 year in advanced...in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Elevance Health (Rocky Hill, CT)
- **Behavioral Health Care Manager II** A proud member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical mental ... for autism and depression, and insightful analytics to improve the delivery of care . **Virtual** - This role enables associates to work virtually full-time, with the… more