- Humana (Nashville, TN)
- …and assists corporate leadership in strategic planning to improve effectiveness of behavioral health utilization management programs. + Collects and ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health ) who will utilize their clinical… more
- CVS Health (Nashville, TN)
- …using Motivational Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice ... - Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate… more
- Universal Health Services (Memphis, TN)
- …employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access ... the UM staff. The UM Director maintains a productive, professional relationship with the medical staff, management team and...and state laws and regulations governing mental health care facilities relating to Patients rights and utilization … more
- Elevance Health (Nashville, TN)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Humana (Nashville, TN)
- …+ Administer new innovative VBP models for range of provider types, such as behavioral health , maternity, specialists, and social determinants of health , ... part of our caring community and help us put health first** The Sr. Value-Based Programs professional ...move providers from volume to value + Analyze financial, utilization , and performance data to identify opportunities to drive… more
- HCA Healthcare (Nashville, TN)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... . Role models lifelong learning and remains cognitive of nursing and allied health professional development trends and changes in practice to best meet… more
- Highmark Health (Nashville, TN)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works directly with network providers to support key clinical transformation programs ... with a focus on utilization of appropriate care. The team member works with...or healthcare administration in a provider office, hospital and/or health systems, or healthcare consulting in provider setting. +… more
- Elevance Health (Nashville, TN)
- …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... state or territory of the United States when conducting utilization review or an appeals consideration and cannot be...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- CenterWell (Nashville, TN)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** **National** **Director of Transitional Care and High-Risk...will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring… more
- Mindoula Health (Rockford, TN)
- …you successful: + Bachelors degree in psychology, social work, or another applicable behavioral health discipline from an accredited college or university is ... basis + Develop and coordinate community resources with emphasis on medical, behavioral , violence prevention, and social services. + Assess members for risk, make… more
- HCA Healthcare (Nashville, TN)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Do you have the career opportunities as a(an) Home Health RN Clinical Manager you want in your current...many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and… more
- HCA Healthcare (Hendersonville, TN)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care… more
- Universal Health Services (Brentwood, TN)
- …ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access ... is a nationwide leader in the treatment of co-occurring addiction and mental health disorders. With 11 residential and outpatient facilities across the US, FRN aims… more
- CenterWell (Nashville, TN)
- … health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management, care management, clinical information ... directly address the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- HCA Healthcare (Nashville, TN)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... TriStar Skyline Medical Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- WestCare Foundation (Dandridge, TN)
- …in Sociology, Criminal Justice, Social Work, Psychology or related human services or behavioral health field for this position is preferred. + Previous ... or equivalent is required. Experience and Competencies: + Basic knowledge of behavioral health , therapeutic techniques, social services, or related industry. +… more
- HCA Healthcare (Nashville, TN)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... years. **Benefits** HCA Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (Columbia, TN)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Officer is responsible to the Hospital CEO, and maintains business relationships with the Behavioral Health Service Line CFO, Hospital CEO, COO, and CNO. This… more
- WestCare Foundation (Jefferson City, TN)
- …Experience and Competencies: + Basic knowledge of substance use disorder services, behavioral health , social services, judicial system, law enforcement or ... ensure the delivery of quality services to the individuals served in the Health Resources and Services Administration grant (HRSA). This role provides the delivery… more
- HCA Healthcare (Brentwood, TN)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... your current employer? We have an exciting opportunity for you to join Tristar Health which is part of the nation's leading provider of healthcare services, HCA… more