- Common Ground (Flint, MI)
- Exciting Career Opportunity! The Behavioral Health Utilization Management (UM) Specialist is responsible for reviewing and evaluating mental health ... LPC, MLP) required. Experience + 2+ years in behavioral health clinical practice and/or utilization management . + Minimum of 3 years in diagnosing,… more
- Molina Healthcare (Sterling Heights, MI)
- …chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and… more
- CVS Health (Lansing, MI)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... ambulatory care or outpatient clinic/facility. + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations… more
- CVS Health (Lansing, MI)
- …sitting, talking, and listening. **Required Qualifications** + 2+ years of experience in behavioral health . + Active and good standing Arizona clinical and/or ... within the United States. **Preferred Qualifications** + 4+ years of experience in behavioral health . + Previous experience working within the mental health… more
- Molina Healthcare (Ann Arbor, MI)
- …with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization ... **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and... Health function provides leadership and guidance for utilization management and case management … more
- Samaritas (Charlotte, MI)
- Position Details MENTAL / BEHAVIORAL HEALTH CLINICAL SUPERVISOR - CHARLOTTE Are you a licensed clinician with a passion for supporting recovery and leading ... will directly impact lives and shape the future of behavioral health care. We're looking for a...training as needed + Responsible for tracking and monitoring utilization and outcome data, including quarterly reporting for the… more
- Molina Healthcare (Grand Rapids, MI)
- …implementation and training delivery for utilization management , care management , long-term services (LTSS), behavioral health , and other applicable ... systems analysis, and 1 year experience in a care management , utilization management , behavioral health , medical, or managed care setting, or… more
- CVS Health (Lansing, MI)
- … Management background preferred. **Education** + Master's degree in behavioral health field. **Anticipated Weekly Hours** 40 **Time Type** Full ... **Required Qualifications** + Unrestricted independent state licensure in a behavioral health field (LMHC, LMFT, LCSW, LICSW,...+ Human Resource and/or Supervisory experience. + Case management , Utilization Review, or Utilization… more
- Highmark Health (Lansing, MI)
- …:** **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
- Elevance Health (Dearborn, MI)
- …to day clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for ... medical director provides clinical expertise in all aspects of utilization review and case management . Provides input...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and substance use disorders. We are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main campus, and our ... a state-of-the-art psychiatric urgent care center and a soon-to-be-built pediatric behavioral health center, outpatient, inpatient, partial hospitalization (day… more
- Highmark Health (Lansing, MI)
- …Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care services, ... utilization , identification of opportunities for referral to a Health Coach/case management , and identification and resolution...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and substance use disorders. We are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main campus, and our ... a state-of-the-art psychiatric urgent care center and a soon-to-be-built pediatric behavioral health center, outpatient, inpatient, partial hospitalization (day… more
- CVS Health (Lansing, MI)
- …. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience.… more
- Henry Ford Health System (Novi, MI)
- …and in accordance with state and Federal regulatory agencies and Henry Ford Behavioral Health standards and expectations. 6. Ensures access for patient ... as assignment by BHS and/or HFHS. 4. Maintains core competencies as defined by Behavioral Health 5. Partners and collaborates with the BHS research enterprise to… more
- Sharecare (Lansing, MI)
- …members to become empowered and active participants in their own healthcare management for their chronic condition. By providing health education and ... **Job Description:** Sharecare is the leading digital health company that helps people - no matter...nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management… more
- Henry Ford Health System (Troy, MI)
- …of contractual provisions and rates on behalf of HFHS Hospitals, Medical Group, Behavioral Health Services and other business units. 1. Independently evaluate ... relevant contractual requirements and issues to internal customers such as Utilization Management , Finance, Patient Billing, Administration, Legal, etc. 7.… more
- Tenet Healthcare (Detroit, MI)
- …assessment and intervention for patients identified with identified needs including behavioral health , lack of support systems, financial barriers, end ... Clinical Social Worker - Case Management - 2406003684 Description : DMC Receiving Hospital...through effective resource coordination to help patients achieve optimal health , access to care and appropriate utilization … more
- Corewell Health (Dearborn, MI)
- …referral resources, bereavement support, adjustment counseling, facilitating guardianships and behavioral health concerns (including psychiatric transfers). + ... sessions with eligible inpatients and Partial program patients and also may perform utilization review for this patient population + Provides discharge planning and … more
- Tenet Healthcare (Detroit, MI)
- …assessment and intervention for patients identified with identified needs including behavioral health , lack of support systems, financial barriers, end ... Clinical Social Worker - Case Management - 2506002924 Description : Embark on a...through effective resource coordination to help patients achieve optimal health , access to care and appropriate utilization … more