- Merck & Co. (North Wales, PA)
- …third-party digital partnership choices aligned to strategic-priorities and behavioral /communication objectives to drive business impact Design Customer Engagement ... Company oncology digital assets Share and leverage global best practices, utilization of capabilities, where applicable with the broader Company Oncology community… more
- Marion County (Salem, OR)
- …this recruitment may close at any time without further notice.Marion County Adult Behavioral Health is hiring an Exceptional Needs Care Coordinator. This ... process for requests for Long-Term Psychiatric Care.Ensure accuracy of utilization data of those admitted to the Oregon State...fully as a member of the Marion County Adult Behavioral Health team as a supportive, reliable,… more
- Marion County (Salem, OR)
- …manages the planning, development, support and delivery of efficient and high-quality mental health , behavioral health or health administration services ... and development.Collaborate and provide back-up and support to other programs of the Behavioral Health Division with an eye toward reducing barriers and treating… more
- Centene Corporation (OK)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure ... management issues related to member care, provider interactions, and facilitates operations within utilization management. + Manages behavioral health (BH) … more
- Humana (Columbus, OH)
- …and assists corporate leadership in strategic planning to improve effectiveness of behavioral health utilization management programs. + Collects and ... first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health ) who will utilize their clinical skills to… more
- Sutter Health (Berkeley, CA)
- …Provides a variety of professional clerical and administrative support to the utilization review behavioral health department. Applies established guidelines ... replacement. COMPLIANCE: + Maintains strictest confidence of all patients protected health information (PHI) and protects all PHI from accidental, intentional, or… more
- Elevance Health (Cerritos, CA)
- …training, or as otherwise required by managers. **Shift:** **M-F; 8:30am-5:00pm** Responsible for Behavioral Health Utilization Management (BH UM), or ... of care for inpatient/outpatient + BH services; ensures appropriate utilization of BH services through level of care determination,...UM: MS in social work, counseling, psychology or related behavioral health field or a degree in… more
- Centene Corporation (Tallahassee, FL)
- …needs. Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Assess ... Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. + Works towards… more
- Centene Corporation (Jefferson City, MO)
- …needs. Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Assess ... Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. + Works towards… more
- Centene Corporation (NJ)
- …needs. + Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. + Works ... behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization , case management and discharge… more
- Kepro (Richmond, VA)
- … UM Clinical Reviewer (part-time) to join our growing team. Job Summary: Our Behavioral Health Utilization Management Clinical Reviewer will use clinical ... CNSI and Kepro are now Acentra Health ! Acentra Health exists to empower...assessment and critical thinking skills. + 1+ year of Utilization Review (UR) and/or Prior Authorization or related work… more
- Dignity Health (Northridge, CA)
- …the provision of care in accordance with and in compliance of the Behavioral Health Dignity Health Utilization Review Policy. + The UMC will participate ... The UMC participates in development and promotion of service line represents Behavioral Health Care services and participates in interdepartmental meetings and… more
- Universal Health Services (Philadelphia, PA)
- …to join our team. Utilization Management (UM) Coordinator Position Fairmount Behavioral Health System is seeking a Utilization Management (UM) ... Responsibilities Located on a 27-acre wooded campus, Fairmount Behavioral Health System is a peaceful,...patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …for individuals ages 0-18 and their families in Fairfax County. The URA ( Behavioral Health Senior Clinician) provides utilization reviews and authorizations ... with evidence-based practices, utilization review standards within a behavioral health environment, and awareness of community resources. Illustrative… more
- Elevance Health (Atlanta, GA)
- …management and improvement work; LEAN or Continuous Quality Improvement skills and/or behavioral health , risk management, and/or utilization review in ... **JR110688 Behavioral Health Clinical Quality Audit Analyst Sr** We are currently seeking a BH Clinical Quality Audit Analyst Senior (Quality Assessor) to join… more
- CVS Health (Austin, TX)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... or substance abuse setting required + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations… more
- CVS Health (Sandy, UT)
- …clinically appropriate treatment, evidence-based care, and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... of the utilization /benefit management function. Required Qualifications + 3+ years of behavioral health clinical experience in a hospital setting + Must have… more
- Universal Health Services (Savannah, GA)
- …and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access ... Responsibilities Coastal Harbor Health is currently seeking a Utilization ...to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory… more
- CVS Health (Sacramento, CA)
- …Monday-Friday standard business hours. No nights, weekends or holidays. As a UM Clinician Behavioral Health you will: - Utilize clinical experience and skills in ... with clients with an Autism Diagnosis - Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in… more
- Mirror (Newton, KS)
- …maintenance of utilization review programs to facilitate the use of behavioral health resources and increasing timely requests and decreasing denials, ... two (2) years experience in health care settings including utilization review, behavioral health and/or substance use preferred. + Working knowledge of… more
