- Mindlance (Rochester, NY)
- …Licensure Valid NYS driver's license required Preferred: A minimum of four years clinical experience in ambulatory care, community health or home health ... NYS Nursing Licensure Valid NYS driver's license required A minimum of four years clinical experience in ambulatory care, community health or home health … more
- 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. ... are now Acentra Health ! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to… 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
- Universal Health Services (Oakland Park, FL)
- …maintenance of high quality patient care through the analysis, review and evaluation of clinical practices within the Behavioral Health Center. Other duties ... Responsibilities Fort Lauderdale Behavioral Health Center, a subsidiary of...Experience: + A minimum of two (2) years direct clinical experience in a psychiatric or mental health… 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 (Los Angeles, 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
- 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 potential. ... illness and the site of service. **This position will support our Senior Whole Health business.** **_Senior Whole Health by Molina_** **is a Managed Long-Term… more
- Kepro (Richmond, VA)
- …role in managing and coordinating the clinical appeals process with our client. UM Clinical Reviewer: + Using clinical knowledge and nursing experience, ... ! Acentra Health exists to empower better health outcomes through technology, services, and clinical ... solutions in the public sector. Acentra seeks a UM Reviewer & Appeals Coordinator RN (Remote within Virginia)… more
- Molina Healthcare (Bronx, NY)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... of service. **We are seeking a Registered Nurse with UM and Inpatient Review experience. The Care Review Clinician...all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence… 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 potential. ... service. **We are seeking a Registered Nurse with previous UM and** **inpatient experience along with knowledge of the...and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Care for Molina… more
- Healthfirst (NY)
- …specific clinical team (such as Care Management, Utilization Management, Behavioral Health , etc.) and may have additional departmental responsibilities. ... outreach to members, providers and community-based organizations; handling member mailings; faxing clinical requests and Individual Health Care Plans on behalf… more
- Elevance Health (Denver, CO)
- …you a check, or ask you for payment as part of consideration for employment. ** Behavioral Health Care Manager II** + Job Family: MED > Licensed/Certified ... Behavioral Health Role + Type: Full time...Behavioral Health Role + Type: Full time + Date Posted:Apr...healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers… 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 (Woburn, MA)
- …employment. ** Behavioral Heath Care Manager II** + Job Family: MED > Licensed/Certified Behavioral Health Role + Type: Full time + Date Posted:Apr 23, 2024 + ... 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
- One Health (Sheridan, WY)
- P OSITION SUMMARY: Functions as a core member of an integrated behavioral health team that may involve the patient's primary care provider in a clinic and/or ... state and federal confidentiality requirements. Works under the direction of licensed behavioral health and/or medical providers, is responsible for coordinating… more
- One Health (Hardin, 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
- Elevance Health (Cerritos, CA)
- …you a check, or ask you for payment as part of consideration for employment. ** Behavioral Health Care Manager II** + Job Family: MED > Licensed/Certified ... Behavioral Health Role + Type: Full time...Behavioral Health Role + Type: Full time + Date Posted:Apr...healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Outreaches… more
- Molina Healthcare (Albuquerque, NM)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management and ... health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. ** Based in New Mexico… more
- UNC Health Care (Chapel Hill, NC)
- …organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Utilization Manager Psych ... Team completes clinical reviews for all areas: Inpatient, Observation for Psych...and YBH. The team assists the weekends and other UM teams with their reviews. Schedule: Fulltime: Day Shift… more
- WellSense (Boston, MA)
- …direction of the Vice President of the Senior Vice President of Behavioral Health , the Senior Director of BH Clinical Programs oversees the BH Care ... (customer service, marketing, sales, product, finance, utilization management, pharmacy, behavioral health ) and external stakeholders to ensure operational… more