- Centene Corporation (Springfield, IL)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... licensure as outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review… more
- Molina Healthcare (Henderson, NV)
- …experience in an intensive care unit (ICU) or emergency room. ASAM Certification for behavioral health Previous experience with MCG guidelines. At least 2 years ... teams to promote the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. **Required Qualifications** * At least 2 years experience,… more
- Molina Healthcare (Albuquerque, NM)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Medicaid recipients. Preference will be given to those whose UM experience is within another MCO like Molina; experience...field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required… more
- Molina Healthcare (Columbus, OH)
- …* Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Behavioral Health nursing experience- inpatient psychiatric, IMD, ... teams to promote the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. Required Qualifications * At least 2 years experience,… more
- Molina Healthcare (Rockford, IL)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more
- Molina Healthcare (Sparks, NV)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more
- Molina Healthcare (Ann Arbor, MI)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and member satisfaction. Required Skills and Experience * Registered nurse or licensed behavioral health clinician (ie LICSW, LPCC, LMFT, LP, LADC, ... Minnesota Position Title: Care Manager PreService & Retrospective Location: Remote Career Area: Health Services About Blue Cross and Blue Shield of Minnesota At Blue… more
- University of Miami (Miami, FL)
- …of domains, including but not limited to patient oriented, translational, epidemiologic, behavioral , outcomes, implementation or health services research. + The ... an Assistant Professor of Clinical in Pediatric Adolescent Gynecology on the Clinician Educator track will have clinical responsibilities within the Department of… more