- Kepro (Richmond, VA)
- …a vital partner for health solutions in the public sector. Acentra seeks a Behavioral Health UM Clinical Reviewer (part-time) to join our growing ... team. Job Summary: Our Behavioral Health Utilization Management Clinical Reviewer will use clinical expertise to review medical records against… more
- Commonwealth Care Alliance (Boston, MA)
- …to develop and advance the UM program, collaborates with the Behavioral Health UM team, the multiple clinical groups and provider partners in care ... is Important to Us:** The Director, Inpatient Utilization Management ( UM ), leads and manages all utilization management ( UM...years of clinical experience in medical or behavioral health care delivery + Medicare and… more
- Universal Health Services (Memphis, TN)
- Responsibilities Lakeside Behavioral Health System provides an excellent opportunity for those seeking to be part of a team-oriented and compassionate ... paid time off. Since 1969, Lakeside has been the premier provider of specialized behavioral health and addictive disease services in the Memphis and Mid-South… more
- Elevance Health (Louisville, KY)
- …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Atlanta, GA)
- …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Rancho Cordova, CA)
- …The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Cerritos, CA)
- …training, or as otherwise required by managers. **Shift:** **M-F; 8:30am-5:00pm** Responsible for Behavioral Health Utilization Management (BH UM ), or ... of care initiatives. + May attend meetings to review UM and/or CM process and discusses facility issues. +...clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred. + Additional… more
- CVS Health (Richmond, VA)
- …Virginia. + 2+ years experience with delivery of community-based Medicaid behavioral health services required. + 5+ years of clinical and program oversight ... They represent the plan and collaborate with internal partners, community organizations, and behavioral health and ARTS providers to enhance the quality of… more
- Corewell Health (Grand Rapids, MI)
- … Manager provides clinical and operational management over all behavioral health programming and services delivered to the organization's membership ... objectives. + Plan and direct all Quality, UM and Clinical regulatory functions of the Behavioral Health department in order to maintain regulatory and… more
- LA Care Health Plan (Los Angeles, CA)
- …activities to improve overall compliance with all regulations and standards. Clinical Auditor ( Behavioral Health ): In addition to ... the duties above, the Clinical Auditor ( Behavioral Health ) will design an audit program... Health units, the Medical Director of Behavioral Health , attendance at UM … more
- Elevance Health (Indianapolis, IN)
- ** Behavioral Health Care Manager I Overnight... healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers ... an Elevance Health location in Indiana. Th ** Behavioral Health Care Manager I** is responsible...LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health … more
- Elevance Health (Rocky Hill, CT)
- ** Behavioral Health Care Manager II** **This...healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers ... - Friday 8:30 am to 5 pm EST.** The Behavioral Health Care Manager II is responsible...LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health … more
- Elevance Health (Seven Fields, PA)
- …Point office. **Hours:** Monday-Friday 8:00 am -5:00 pm Eastern Standard Time The Behavioral Health Care Manager II is responsible for managing psychiatric and ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Elevance Health (Rocky Hill, CT)
- …quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health … more
- One Health (Miles City, MT)
- …with on the job training perfect for someone wanting to move into the world of behavioral health but doesn't know where to start. One Health offers great ... SUMMARY: Functions as a core member of an integrated behavioral health team that may involve the...and follow-up c + T racks patient follow-up and clinical outcome + Documents encounters in the EHR per… more
- CVS Health (Sacramento, CA)
- …hours. No nights, weekends or holidays. As a UM Clinician Behavioral Health you will: - Utilize clinical experience and skills in a collaborative process ... with clients with an Autism Diagnosis - Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in… more
- Elevance Health (Rocky Hill, CT)
- …Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental health and substance use ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Elevance Health (Costa Mesa, CA)
- …quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Outreaches to providers as necessary for ... Behavioral Care Manager** **II** is responsible for completing clinical assessments, screenings, and managing crisis calls in a...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Elevance Health (Latham, NY)
- …locations. **Hours:** Monday-Friday 8:00 am -5:30 pm Eastern Standard Time The Behavioral Health Care Manager II is responsible for managing psychiatric ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Elevance Health (Indianapolis, IN)
- …the hired candidate may be asked to work in office as needed.** The ** Behavioral Health Care Manager I** - **Indiana** is responsible for managing psychiatric ... healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more