- LifePoint Health (Las Cruces, NM)
- …the discharge plan. * Discharge Planning assists with LTC, SNF, Rehabilitation, Behavioral /Mental Health , Home Care, DME, transportation and other placement ... local law./ **Job:** **Nursing* **Organization:** **Memorial Medical Center* **Title:** *RN Case Manager - UM - PRN* **Location:** *New Mexico-Las Cruces*… more
- Elevance Health (Tampa, FL)
- …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... you for payment as part of consideration for employment. ** UM Medical Director - Physical Medicine and Rehabilitation** +...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Las Vegas, NV)
- …you a check, or ask you for payment as part of consideration for employment. ** Behavioral Health Care Manager II** + Job Family: MED > Licensed/Certified ... and insightful analytics to improve the delivery of care. ** Behavioral Health Care Manager II**...healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to… 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 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 in a ... state and federal confidentiality requirements. Works under the direction of licensed behavioral health and/or medical providers, is responsible for coordinating… more
- Elevance Health (Woburn, MA)
- …** Behavioral Heath Care Manager II** + Job Family: MED > Licensed/Certified Behavioral Health Role + Type: Full time + Date Posted:Apr 23, 2024 + ... for ABA service for the plans contracted by Carelon Health . The care manager reviews the provider's...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Humana (Richmond, VA)
- …Utilization Management ( UM ), Quality Improvement, and value‐based payment programs. The Behavioral Health Director will be based in Virginia and will also ... Humana Healthy in Virginia is in search of a Behavioral Health Medical Director who will oversee...prior experience leading teams focusing on quality management, CM, UM , discharge planning and/or home health or… 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 ... campuses - Main, HBH, Chatham and YBH. The team assists the weekends and other UM teams with their reviews. Schedule: Fulltime: Day Shift 0830a to 5p with Occasional… more
- Tri-County Mental Health Services (Kansas City, MO)
- Quality Assurance Specialist in Behavioral Health Summary **Title:** Quality Assurance Specialist in Behavioral Health **ID:** 3100 **Department:** ... audits per agency audit plan and as directed by the QI/Compliance Manager . Writes clear, concise summaries and detailed reports. Provides recommendations for… more
- The Arora Group (Bethesda, MD)
- …Management/Utilization Management (RM/ UM ) experience. + Clinical subspecialty experience in Behavioral Health (2-5 years current experience). + Knowledge of ... Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN)...for tracking and monitoring active duty cases admitted for behavioral health issues, alcohol and drug related… more
- Elevance Health (Cary, NC)
- …for employment. **BH Care Manager I** + Job Family: MED > Licensed/Certified Behavioral Health Role + Type: Full time + Date Posted:Feb 19, 2024 + ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral… more
- University of Miami (Coral Gables, FL)
- …of the PI. Dr. Harkness' research team is focused on addressing HIV and behavioral health (mental health /substance use) disparities affecting key populations ... for improving the reach of PrEP, HIV testing, and behavioral health treatment to Latino MSM. The...Core. The core provides consultations and support to HIV/mental health investigators within UM and across South… more
- Actalent (Santa Barbara, CA)
- …be assigned to sub-specialized programs within an operational unit, such as Mental/ Behavioral Health services. These sub-specialized programs require the RN to ... Health programs. This position reports to the Program's Manager or their designee of the assigned unit. Depending...perform UM or CM activities for a specific member population.… more
- Universal Health Services (Riverside, CA)
- …employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, ... in an ambulatory setting. Reviews referrals and applies the UM standards for patient care. Ensures continuity of care...with providers. 3. Establish and implement with patient and health care team measurable goals within the proposed treatment… more
- Universal Health Services (Petersburg, VA)
- …guided by its mission of helping those who need the full continuum of behavioral health services. Our facility offers behavioral and psychological treatment ... that take place within the business office and the UM department. All personnel will be trained and knowledgeable...through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and… more
- Elevance Health (Denver, CO)
- …an equivalent background. **Preferred Skills, Capabilities and Experiences:** + MS in Public Health preferred. + Prior experience working in UM and Service Ops ... opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for… more
- Actalent (Santa Barbara, CA)
- …be assigned to sub-specialized programs within an operational unit, such as Mental/ Behavioral Health services. These sub-specialized programs require the RN to ... Health programs. This position reports to the Program's Manager or their designee of the assigned unit. Depending...perform UM or CM activities for a specific member population.… more
- University of Michigan (Ann Arbor, MI)
- …Spiritual Care **Required Qualifications + Master's degree or equivalent in a field of behavioral health , social work, social science, or spiritual care + For ... HECS consults during business hours + The Clinical Case Manager will: 1) Identify the health equity...Time** Part-Time **Regular/Temporary** Regular **FLSA Status** Exempt **Organizational Group** Um Hospital **Department** MM Soc Wrk - Adm &… more
- Trinity Health (Maywood, IL)
- …the UR/ UM teams. This includes utilization review of inpatient medical and behavioral health services to assess appropriateness of level of care and ... and manage Utilization Review and Management for the Loyola Physician Partners LPP) Health Plan, a delegated entity for BCBS HMO Medicare and Commercial coverage.… more