- Humana (Indianapolis, IN)
- …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- Elevance Health (Indianapolis, IN)
- …role in a managed care environment and possess strong utilization management experience. + ** Behavioral Health & Chemical Dependency:** Substantial ... Behavioral Health offers superior clinical mental health and substance use disorder management , a...GA, Woodland Hills, CA. **Summary** The Behavioral Health Chief Medical Officer oversees Utilization Review,… more
- Lincoln Financial (Indianapolis, IN)
- …including 1 year in claims, disability management (STD/LTD), worker's compensation, utilization review, and or behavioral health case management ... **The Role at a Glance** We are excited to bring on a knowledgeable and motivated Behavioral Health Consultant to our Clinical Organization. As a Behavioral … more
- Community Health Network (Westfield, IN)
- …and facilitates trainings on specific bio-psychosocial approaches for the team. Assists with management of urgent behavioral health needs with medical ... Behavioral Health Consultant- LCSW, LMHC, or...required. - 2 + years of experience providing mental health treatment required. - Utilization of conventional… more
- Community Health Network (Indianapolis, IN)
- Behavioral Health Therapist Acute- North Job Ref 2502755 Category Behavioral Health Job Family Behavioral Health Therapist, Licensed Department ... Social Svcs Behavioral Health Schedule Part-time Facility Behavioral ...Care Services policies and procedures. Participate in Aggressive Behavior Management appropriate to the population served. See Behavioral… more
- Elevance Health (IN)
- A proud member of the Elevance Health family of companies, **Carelon Behavioral Health ** , formerly Beacon Health Options, offers superior clinical ... and insightful analytics to improve the delivery of care. ** Behavioral Health Care Manager I** **Location:** 220...requirement for this position. + Previous experience in case management / utilization management with a broad… more
- Elevance Health (Indianapolis, IN)
- ** Behavioral Health Medical Director- Psychiatrist** Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). ... 50 miles of an Elevance Health Pulse Point location. The ** Behavioral Health Medical Director- Psychiatrist** is responsible for completing medical necessity… more
- Highmark Health (Indianapolis, IN)
- …of clinical, case/ utilization management and/or disease/condition management experience, or provider operations and/or health insurance experience ... health status/severity and clinical needs; and assesses health management needs of the assigned member...clinical care is being provided. **Preferred** + Certification in utilization management or a related field +… more
- Highmark Health (Indianapolis, IN)
- …timeframes and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... processing of pre-certification requests for authorization of medically necessary health care services at the appropriate level of care,...and management + Route Cases Based on Established Guidelines +… more
- Liberty Healthcare Corporation (Indianapolis, IN)
- Behavioral health professionals are encouraged to consider an outstanding career opportunity with Liberty Behavioral Health Corporation. A full-time ... is available with Liberty and the Indiana Sex Offender Management and Monitoring Program. The mission of the Indiana...to help a significant number of people improve their behavioral health , prevent sexual abuse and victimization,… more
- Parkview Health (Fort Wayne, IN)
- Summary Coordinates, verifies, negotiates alternatives and manages the care of Parkview Behavioral Health (PBH) patients to facilitate the achievement of quality ... group. Participates in quality improvement and evaluation processes related to the management of care. Provides mentoring with staff in understanding and working in… more
- Community Health Network (Indianapolis, IN)
- Substance Use Disorder Therapist- Adult IOP- Fairbanks- North Job Ref 2502410 Category Behavioral Health Job Family Behavioral Health Therapist, Licensed ... patients suffering from addiction receive exceptional care.** **Make a Difference** **The Behavioral Health Therapist Acute provides direct patient care through… more
- Community Health Network (Indianapolis, IN)
- Substance Use Disorder Therapist- Adult IOP- Fairbanks- North- PRN Job Ref 2501751 Category Behavioral Health Job Family Behavioral Health Therapist, ... patients suffering from addiction receive exceptional care.** **Make a Difference** The Behavioral Health Therapist Acute provides direct patient care through… more
- Elevance Health (Bloomington, IN)
- …member's circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable ... associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation… more
- Highmark Health (Indianapolis, IN)
- …Benefits, Customer Service, Membership & Billing), Provider Data Management , Underwriting, and Professional Relations. **ESSENTIAL RESPONSIBILITIES** + Provide ... including gathering data from multiple sources related to Benefit/Claim Utilization , Enrollment, Networks ( utilization , disruption, geo-access) and making… more
- Community Health Systems (Fort Wayne, IN)
- …and agenda for improvement in clinical outcomes, as well as resource utilization , patient-centered care coordination, and patient experience so as to optimize the ... and northwestern Ohio. Accredited by The Joint Commission and part of Lutheran Health Network, we are dedicated to providing compassionate, quality care with the… more
- Community Health Network (Indianapolis, IN)
- Social Work- Lic MSW- South Job Ref 2502322 Category Behavioral Health Job Family Social Worker Department Medical Oncology Schedule Full-time Facility Cancer ... Care Services policies and procedures. - Participates in Aggressive Behavior Management appropriate to the population served. See Behavioral Care Services… more
- Community Health Network (Indianapolis, IN)
- Social Worker Lic MSW- HATS Geriatrics- East/South Job Ref 2500953 Category Behavioral Health Job Family Social Worker Department Touchpoint HATS Schedule ... Care Services policies and procedures. - Participates in Aggressive Behavior Management appropriate to the population served. See Behavioral Care Services… more
- Elevance Health (Indianapolis, IN)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... preferred. + Extensive orthopedic surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. For… more
- Highmark Health (Indianapolis, IN)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/ Management or Public Health **EXPERIENCE** **Required** + 5 years… more