- Merck & Co. (North Wales, PA)
- …interacting with multiple channels to access drug, medical and practice management information as needed, real-time. To enhance our Company Oncology's Go-To-Market ... and third-party digital partnership choices aligned to strategic-priorities and behavioral /communication objectives to drive business impact Design Customer Engagement… 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 (Oklahoma City, OK)
- …related to member care, provider interactions, and facilitates operations within utilization management . + Manages behavioral health (BH) utilization ... including a fresh perspective on workplace flexibility. **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure… more
- CVS Health (Austin, TX)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... or substance abuse setting required + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations… more
- CVS Health (Springfield, IL)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... of direct clinical practice experience in psychiatric setting or behavioral health setting -2+ years' experience using...Word, Excel, etc.) Preferred Qualifications- 2 + years of Utilization Management / Utilization Review experience -… more
- CVS Health (Sacramento, CA)
- …Monday-Friday standard business hours. No nights, weekends or holidays. As a UM Clinician Behavioral Health you will: - Utilize clinical experience and skills in ... with clients with an Autism Diagnosis - Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in… more
- Universal Health Services (Sacramento, CA)
- …mental health , or a related field or RN with prior Utilization Management and Behavioral Health experience. Experience: A minimum of one (1) year ... Department. If you're passionate about working in the behavioral health setting and have the desire...from emotional, behavioral and addiction problems. The Utilization Management Coordinator (MSW, MFT, MA, RN)… more
- CVS Health (Austin, TX)
- …meetings when requested. - Oversight and implementation of the utilization management program for behavioral health services, including monitoring for ... and is responsible for * Leadership and counsel for utilization management * Leadership and participation in case...development of clinical practice standards, policies, and procedures. - Behavioral health care management performance… more
- CVS Health (Trenton, NJ)
- …meetings when requested* Oversight and implementation of the utilization management program for behavioral health services, including preventing ... for utilization management and case management programs for mental health and substance...the development of clinical practice standards, policies, and procedures* Behavioral health care management performance… 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 ... Behavioral Health Case Management (BH CM) or a combination of both functions...and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience, which includes a minimum… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - ... managed health care process, medical terminology, experience in case management , discharge planning, and/or utilization review preferred. + Familiarity with… more
- Universal Health Services (Conway, SC)
- …Part Time RN Utilization Review Coordinator. Utilization Review / Risk Management Lighthouse Behavioral Health Hospital is a 105-bed, acute care ... Responsibilities Job Posting Lighthouse Behavioral Health Hospital is hiring for...clinical and critical thinking skills essential. Working knowledge of utilization management / case management preferred.… more
- Banner Health (AZ)
- …and in an interdisciplinary team format. PREFERRED QUALIFICATIONS Previous experience with behavioral health utilization management . Additional related ... by offering remote and hybrid work settings. As a Behavioral Health Utilization Care Manager,...continuum of care. 6. Educates internal members of the health care team on case management and… more
- Centene Corporation (Tallahassee, FL)
- …network. + Partner with Utilization Management staff to monitor behavioral health utilization to identify and address potential behavioral ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...-or over- utilization . + Oversee subcontracts related to behavioral health services + Assist in recruitment… more
- Centene Corporation (Trenton, NJ)
- …network. + Partner with Utilization Management staff to monitor behavioral health utilization to identify and address potential behavioral ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...-or over- utilization . + Oversee subcontracts related to behavioral health services + Assist in recruitment… more
- Universal Health Services (Philadelphia, PA)
- …to join our team. Utilization Management (UM) Coordinator Position Fairmount Behavioral Health System is seeking a Utilization Management (UM) ... Responsibilities Located on a 27-acre wooded campus, Fairmount Behavioral Health System is a peaceful,...is one of the nation's largest and most respected health care management companies operating through its… more
- Spokane County (Spokane, WA)
- …for substance use disorder assessment and treatment. + Knowledge of utilization management of public behavioral health . + Knowledge of federal ... behavioral healthcare services, healthcare coordination or authorization and utilization reviews of behavioral health ...Coordinator: + Performs utilization management , utilization review, or concurrent review of behavioral … more
- Centene Corporation (Springfield, IL)
- …working with providers and healthcare teams to review care services for behavioral health services. **Position Purpose:** Performs a clinical review and ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
- Molina Healthcare (Dallas, TX)
- …& ABILITIES** : + 2 or more years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One year of training ... EXPERIENCE** : 5 or more years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. **PREFERRED LICENSE,… more
- CVS Health (Harrisburg, PA)
- …in a managed care clinical operation environment ( utilization management , case management , and/or behavioral health case management ) required. + ... Bring your heart to CVS Health . Every one of us at CVS ...the training and compliance monitoring of the DSNP Care Management team. They are responsible for conducting audits of… more
