- Kepro (Richmond, VA)
- …being a vital partner for health solutions in the public sector. Acentra seeks a Behavioral Health UM Clinical Reviewer RN to join our growing team. Job ... CNSI and Kepro are now Acentra Health ! Acentra Health exists to empower...against criteria to determine medical necessity and appropriateness of care ; determine if the medical record documentation supports the… more
- Molina Healthcare (Bronx, NY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... our Senior Whole Health business.** **_Senior Whole Health by Molina_** **is a Managed Long-Term Care...programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies… more
- Molina Healthcare (Bronx, NY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , for members with high need ... site of service. **We are seeking a Registered Nurse with UM and Inpatient Review experience. The Care Review Clinician must be able to work independently in a… more
- Universal Health Services (Oakland Park, FL)
- Responsibilities Fort Lauderdale Behavioral Health Center, a subsidiary of UHS , is a beautiful, conveniently located, private 180-bed hospital that specializes ... through the analysis, review and evaluation of clinical practices within the Behavioral Health Center. Other duties include; recommending plans of corrective… more
- Molina Healthcare (Bronx, NY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... service. **We are seeking a Registered Nurse with previous UM and** **inpatient experience along with knowledge of the...interdepartmental integration and collaboration to enhance the continuity of care including Behavioral Health and… more
- LifePoint Health (Las Cruces, NM)
- …of the discharge plan. * Discharge Planning assists with LTC, SNF, Rehabilitation, Behavioral /Mental Health , Home Care , DME, transportation and other ... Memorial Medical Center is a 199-bed hospital offering a spectrum of care , including diagnostic, therapeutic, and rehabilitative services, both on an inpatient and… more
- Universal Health Services (Orlando, FL)
- …94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ... FL. The hospital provides 24-hour emergency services. Central Florida Behavioral Hospital offers a full continuum of care...Time Off + Free Basic Life Insurance About Universal Health Services One of the nation's largest and most… 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 ... directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Grand Prairie, TX)
- …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. +...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Healthfirst (NY)
- …managers. The Support Coordinator is assigned to a specific clinical team (such as Care Management, Utilization Management, Behavioral Health , etc.) and may ... providers and community-based organizations; handling member mailings; faxing clinical requests and Individual Health Care Plans on behalf of the care /case… more
- Elevance Health (Colorado Springs, CO)
- …and initiatives. Minimum Requirements: + Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 ... either Denver, CO or Colorado Springs, CO. The BH Care Manager ( UM ) job progression is primarily...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral… more
- One Health (Sheridan, WY)
- …to perform the essential job functions. + Supports and coordinates behavioral health services with the patient's integrated care team. + Assists the ... Engages with patients during warm hand-offs to offer support, education about integrated care , resources, and behavioral health intake processes. Assists… more
- One Health (Hardin, MT)
- …to perform the essential job functions. + Supports and coordinates behavioral health services with the patient's integrated care team. + Assists the ... during warm hand-offs to offer support, education about integrated care , resources, and behavioral health ...and grant supported programs implemented by One Healt MINIM UM JOB QUALIFICATIONS: E du c ation/Certificates/Licenses: Required ▪… more
- One Health (Hardin, MT)
- …of our patients! P OSITION SUMMARY: Functions as a core member of an integrated behavioral health team that may involve the patient's primary care provider ... federal confidentiality requirements. Works under the direction of licensed behavioral health and/or medical providers, is responsible...services to rural populations through an integrated approach to health care . One Health provides… more
- Elevance Health (Woburn, MA)
- …initiatives. **Minimum Requirements:** + Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and **minimum of 3 ... for ABA service for the plans contracted by Carelon Health . The care manager reviews the provider's...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral… more
- CVS Health (Richmond, VA)
- …as they relate to medical management ( UM , CM, DM) provider and system of care issues, behavioral health and human services system issues + Supports and ... discharge planning + Serve as the behavioral health subject matter expert to support care ...encourages CM and UM staff to function as interdisciplinary team, with requisite… more
- Elevance Health (Costa Mesa, CA)
- **Sign-on Bonus:** $3,000 The ** Behavioral Care Manager** **II** is responsible for completing clinical assessments, screenings, and managing crisis calls in a ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Outreaches to providers...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- UNC Health Care (Chapel Hill, NC)
- …Exempt From Overtime: Exempt: Yes This is a State position employed by UNC Health Care System. Qualified applicants will be considered without regard to their ... 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve....and YBH. The team assists the weekends and other UM teams with their reviews. Schedule: Fulltime: Day Shift… more
- CVS Health (Sacramento, CA)
- …schedule is Monday-Friday standard business hours. No nights, weekends or holidays. As a UM Clinician Behavioral Health you will: - Utilize clinical ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....Care experience -BCBA certification Education Master's degree in Behavioral /Mental health or Human Service/ Health … more
- LA Care Health Plan (Los Angeles, CA)
- …This position also acts as a liaison between the Plan Partners and PPGs and LA Care Health Plan regarding UM issues. The position assists in improving access ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public... Health units, the Medical Director of Behavioral Health , attendance at UM … more