- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - ... For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible… more
- UNC Health Care (Chapel Hill, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders, bed… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- Prime Healthcare (Weslaco, TX)
- …#patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/registered-nurse-case- manager utilization - management ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Prime Healthcare (Anaheim, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157767/case- manager utilization - management ... and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …safe discharge coverage for all hospital units. + Participates in utilization management initiatives/opportunities for improvement through departmental committee ... in the State of Florida. + 3 years minimum experience in discharge planning, utilization management , or case management . + Basic proficiency in Microsoft… more
- CareOregon (Medford, OR)
- …+ Knowledge of Behavioral Health managed care practice, including utilization management , population health improvement, guideline development, disease ... Job Title CCO Behavioral Health Program Manager - Adult...Behavioral Health team in the areas of network management and optimization, program development, and delivery system change.… more
- UT Health (Houston, TX)
- Clinician I/II, Intensive Case Manager - UTHealth Houston Behavioral Sciences Campus **Location:** Houston, Texas **Hot** **Category:** Clinical Professionals ... UTHealth Houston Behavioral Sciences Campus Requisition #: 2400013W **What we do...evidence-based practice** . Clinical responsibilities will include intensive case management , contributing to treatment planning, participating in utilization… more
- Universal Health Services (Sacramento, CA)
- …Sierra Vista Hospital is seeking a talented and dynamic Director of Utilization Management to join our team of dedicated healthcare professionals! ... and outpatient chemical dependency services. Position Summary: The Clinical Director of Utilization Management is responsible for the development of best… more
- Ventura County (Ventura, CA)
- Behavioral Health Equity Services Manager - Bilingual Required Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4359714) Apply Behavioral ... Continuous + Description + Benefits + Questions Description Under direction of the Behavioral Health Director, the Equity Services Manager (ESM) promotes and… more
- Centene Corporation (Jefferson City, MO)
- …of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization , case ... Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Assess members to… more
- Centene Corporation (Jefferson City, MO)
- …of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization , case ... Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Assess members to… more
- Banner Health (Sun City West, AZ)
- …highest quality of clinical care along with an excellent patient care experience. As a Behavioral Health Case Manager , you will work in our Behavioral Health ... resources for our Adult and Geriatric patient populations. Previous experience in Behavioral Health Case Management is preferred. Your pay and benefits… more
- Colorado State University (Fort Collins, CO)
- …Position Summary The Behavioral Health and Care Coordination ( BHCC ) Manager collaborates with the Medical Directors and the CSU Health Network staff to provide ... behavioral health interventions to CSU students. The BHCC Manager supervises the Behavioral Health Care Coordinators....care meetings as needed + Tracks data and monitors utilization and impact of behavioral health and… more
- Banner Health (Sun City West, AZ)
- …administrative support for discharge planning; nursing and medical providers as well as utilization management and outside stakeholders such as SMI teams and out ... patients' lives easier. Apply today. Bring your passion for Behavioral Health to Banner Health! We are in need...Banner Health! We are in need of a Case Manager with at least one year of experience to… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… more
- Prime Healthcare (Bloomington, IN)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/141999/case- manager utilization ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/rn-case- manager utilization ... services in specialties including Cardiovascular, Surgical, Orthopedics, Maternal-Child Health, Behavioral Health and Emergency and Trauma Care. In addition, the… more
- Centene Corporation (Lubbock, TX)
- …of experience in direct behavioral health/ psychiatric experience, case management and/or service coordination. Knowledge of utilization principles and ... cost effective care. Individuals assigned to the Complex Care Behavioral Health Care Manager are more likely... are more likely than others to experience a behavioral health crisis, requiring crisis call management .… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more