- Humana (Columbus, OH)
- …to make an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral Health clinician license such as a ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health) who will utilize their clinical skills to… more
- Humana (Frankfort, KY)
- **Become 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 2 work… more
- Centene Corporation (Oklahoma City, OK)
- … issues related to member care, provider interactions, and facilitates operations within utilization management . + Manages behavioral health (BH) ... compliance with applicable guidelines + Reviews and analyzes BH utilization management activities, over/under utilization ,...+ Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse -… more
- CVS Health (Sandy, UT)
- …if social worker, MSW, LCSW, Behavioral /mental health services or if Registered Nurse , Associates degree required, BSN preferred Pay Range The typical pay ... in the state of residence (LMSW, LCSW, LISW, LPC, or comparable) or Registered Nurse licensure with psychiatric specialty, certification, or experience in state… more
- Universal Health Services (Highlands Ranch, CO)
- Responsibilities Highlands Behavioral Health System is an 86 bed, acute care psychiatric hospital located in Littleton, CO. Highlands features individual units for ... care, partial hospitalization, and intensive outpatient programs. www.highlandsbhs.com The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis… more
- Universal Health Services (Sacramento, CA)
- …suffering from emotional, behavioral and addiction problems. The Utilization Management Coordinator (MSW, MFT, MA, RN ) is responsible for the managing, ... work, mental health, or a related field or RN with prior Utilization Management and Behavioral Health experience. Experience: A minimum of one (1) year… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Compliance Utilization Management Nurse 2 reviews utilization management ... rotating schedule. (about 2 holidays per year) The Compliance Utilization Management Nurse 2 ensures...make an impact** **Required Qualifications** + Active unrestricted Licensed Registered Nurse , ( RN ), in your… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible for… more
- Universal Health Services (Conway, SC)
- …Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / Risk Management Lighthouse Behavioral Health Hospital is a ... care, CD Rehab and intensive outpatient programs. Benefits for UR- Registered Nurse ( RN ) include: +...clinical and critical thinking skills essential. Working knowledge of utilization management / case management preferred.… more
- Centene Corporation (Tallahassee, FL)
- …it is fully integrated with the physical health provider network. + Partner with Utilization Management staff to monitor behavioral health utilization ... to identify and address potential behavioral health under -or over- utilization . + Oversee subcontracts related to behavioral health services + Assist in… more
- Universal Health Services (Philadelphia, PA)
- … Management (UM) Coordinator to join our team. Utilization Management (UM) Coordinator Position Fairmount Behavioral Health System is seeking a ... Responsibilities Located on a 27-acre wooded campus, Fairmount Behavioral Health System is a peaceful, therapeutic environment...Utilization Management (UM) Coordinator to reviews patient medical records to… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Welcome_** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... procedures, guidelines of the organization, and within the State's Nurse Practice Act. The RN provides a...of Science Nursing (preferred) **Work Experience** 1 year of RN experience (preferred) Recent Behavioral Health experience… more
- Banner Health (Scottsdale, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... Great options and great opportunities. Bring your passion for Behavioral Health to Banner Health! **Banner Behavioral ...worked out with the peer leader. As an Associate RN Director, you will lead a team that works… more
- Lancaster General Health (Lancaster, PA)
- …of RN experience. External applicants only. **_We are seeking an experienced RN to join the Behavioral Health team in our Emergency Department._** Lancaster ... This includes 10 beds in our updated and expanded behavioral health rooms, and 13 dedicated pediatric beds. Each...American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** **Do you have the career opportunities as a(an) Registered Nurse Ortho Med Surg you want in your current role? We invest in what ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...**Job Summary and Qualifications** + **We are seeking a Registered Nurse for Methodist Texsan Ortho Unit… more
- Insight Global (New York, NY)
- Job Description Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health ... and send to me with QB - 4-5 years of Remote Utilization Management experience at Payors, inpatient or outpatient - Proficiency… more
- HCA Healthcare (Richmond, VA)
- …year, nurses at **Chippenham Hospital** have the opportunity to make a real impact. As a ** Registered Nurse RN Case Manager** you can be a part of change. ... benefits may vary by location._** We are seeking a ** Registered Nurse RN Case Manager**...experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the career opportunities as a(an) Case Manager Registered Nurse RN you want in your current role? We invest in ... RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management ...we encourage you to apply for our Case Manager Registered Nurse RN opening. We… more
- Universal Health Services (Petersburg, VA)
- Responsibilities Registered Nurse ( RN ) - PRN Poplar Springs Hospital isa 183 bed acute care and residential facility. For more than 30 years Poplar Springs ... Position Requirements: Licensure/Certification/Registration: + Licensed to practice as a Registered Nurse ( RN ) in the...registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a… more
- Banner Health (Mesa, AZ)
- …people the tools they need to perform at their best. As a Medical/Surgical Float Registered Nurse RN you will provide patient care throughout the facility ... culture. Clinical Care Operations is the hub of patient management for the campus, including: bed assignment, unit staffing...care setting within the past 12 months as a Registered Nurse in the specialty area. Banner… more