- Kaiser (Salem, OR)
- …Affiliation : W05|AFT|Local 5017Job Level : Individual ContributorJob Category : Behavioral Health , Social Services & Spiritual CareDepartment : North ... maximize the members ability to better direct their own health care experience through the use of assessment and...Lancaster Medical Office - Utilization Management - 1008Travel : NoKaiser Permanente… more
- Kaiser (Lanham-Seabrook, MD)
- …Affiliation : M38|UFCW|Local 400Job Level : Individual ContributorJob Category : Behavioral Health , Social Services & Spiritual CareDepartment : Doctors ... a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services… more
- Kaiser (Arlington, VA)
- …Affiliation : M38|UFCW|Local 400Job Level : Individual ContributorJob Category : Behavioral Health , Social Services & Spiritual CareDepartment : Virginia ... a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- Centene Corporation (Phoenix, AZ)
- …to member care, provider interactions, and facilitates operations within utilization management . + Oversees the behavioral health (BH) utilization ... person meetings at our Tempe and/or Tucson offices.** **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure… more
- Actalent (Sunrise, FL)
- …and present reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health , and mental ... Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing… more
- Omaha Children's Hospital (Omaha, NE)
- …equal opportunity employer including veterans and people with disabilities. **A Brief Overview** Utilization Management (UM) is a specialty area of Nursing Case ... variety of settings. + Skills in negotiation and problem solving with utilization management . + Should be a creative, flexible, risk taker. **Licenses and… more
- CVS Health (Workman, MN)
- …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate,...a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM… more
- Molina Healthcare (GA)
- …professionals in some or all of the following functions: care management , utilization management , behavioral health , care transitions, long-term ... or more of the following areas: utilization management , care management , care transitions, behavioral health , long-term services and supports (LTSS),… more
- Molina Healthcare (Los Angeles, CA)
- …professionals in some or all of the following functions: care management , utilization management , behavioral health , care transitions, long-term ... Job Duties** * Assists in implementing health management , care management , utilization management , behavioral health and other program… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health , Pharmacy, Registered ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- Molina Healthcare (GA)
- …some or all of the following functions: utilization management , care management , behavioral health and other programs. Leads team responsible for ... following key health care services functions: care management , utilization management , care transitions,...following areas: utilization management , care management , care transitions, behavioral health ,… more
- CVS Health (Frankfort, KY)
- …clinically appropriate treatment, evidence-based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... + Must reside in Kentucky or bordering Counties + Licensed independent behavioral health clinician with Kentucky state licensure (LCSW, LPCC, LMFT,… more
- Molina Healthcare (Rochester, NY)
- …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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …care setting in case/disease or utilization management * 3+ years of behavioral health experience * Bachelor's or Master's degree in health care, ... Blue Cross and Blue Shield of Minnesota Position Title: Manager Clinical Care Management - Behavioral Health Location: Hybrid | Eagan, Minnesota… more
- Molina Healthcare (WA)
- …licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One year of ... Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality,… more
- Omaha Children's Hospital (Omaha, NE)
- …equal opportunity employer including veterans and people with disabilities. **A Brief Overview** Utilization Management (UM) is a specialty area of Nursing Case ... variety of settings. + Skills in negotiation and problem solving with utilization management . + Should be a creative, flexible, risk taker. **Licenses and… more
- Spectrum Billing Solutions (Skokie, IL)
- …+ Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR Specialist ... Review Specialist | ABA Utilization Review Specialist | ABA Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing… more
- CVS Health (Oklahoma City, OK)
- …stakeholders to identify and address patient needs (eg care team, social work, behavioral health , utilization management , Hard-to-Reach, Central ... follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and...we looking for?** **Required Qualifications** + Active RN or Behavioral Health (BH) license in good standing… more
