- Elevance Health (CA)
- ** Behavioral Health Care Manager I, Utilization Management** **Work Hours M-F 8am-5pm PST** **Work Location: Virtual, California** This role enables ... employment, unless an accommodation is granted as required by law. The ** Behavioral Health Care Manager I, Utilization Management** is responsible for… more
- Centene Corporation (Springfield, IL)
- …combination of (3) experience in various mental health settings especially inpatient behavioral health units, utilization management / review, and youth ... Youth-In-Care or Former Youth-In-Care members, ages 0-21 receiving inpatient and outpatient behavioral health services. **Preference will be given to applicants… more
- Humana (Frankfort, KY)
- …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
- Molina Healthcare (Grand Rapids, MI)
- …dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to ... -related regional medical necessity reviews and cross coverage. * Standardizes behavioral health -related utilization management, quality, and financial… more
- Centene Corporation (Austin, TX)
- … Health goals for the product. + Take a macro-level view of behavioral health utilization management responsibilities to optimize clinical resource ... Purpose:** Provides strategic and clinical leadership for Behavioral Health across all clinical functions ( Utilization Management, Care Management,… more
- UNC Health Care (Hendersonville, NC)
- …consultation for behavioral health services. Working closely with behavioral health clinicians, utilization review, case management, and finance ... health and well-being of the unique communities we serve. Summary: The Behavioral Health Referral Coordinator is responsible for managing and facilitating … more
- Molina Healthcare (AZ)
- …most effective setting while contributing to enterprise-wide strategies for integrated behavioral health programs, utilization management standardization, ... expertise for utilization management, case management, and integrated behavioral health /chemical dependency programs; collaborates with regional and… more
- Point32Health (MA)
- …Point32Health (https://www.point32health.org/) . **Job Summary** Under the supervision of the Utilization Management Supervisor, the Behavioral Health (BH) ... and Enterprise contract requirements. The BH UM Clinician works collaboratively with the Behavioral Health leadership within the Behavioral Health … more
- Novant Health (NC)
- …weekends as needed, most holidays required. + Serve as a leader resource in the Utilization Review process for Behavioral Health acute care . + Coordinate ... promote and adhere to regulatory compliance. + Obtain prior authorization for behavioral health services. + All Utilization Review activities are performed… more
- Spectrum Billing Solutions (Skokie, IL)
- …Strong computer skills (Word, Excel, billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | ... Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing Specialist #UtilizationReviewSpecialist | #UtilizationManagementSpecialist… more
- Humana (Richmond, VA)
- …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
- CVS Health (Harrisburg, PA)
- …utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in a hospital setting. **Preferred ... day. **Position Summary-** + **Master's Degree and Independently licensed Behavioral Health Clinician Or Associate Degree and...years BH clinical Experience** + **1 or more years Utilization Management Experience** + **Work at Home role. Can… more
- FLACRA (Clifton Springs, NY)
- …(QHP) preferred. + At least one year of experience in the behavioral health field, with knowledge of utilization management practices. + Valid NYS Driver's ... Utilization Management Specialist FLACRA Clifton Springs, NY (Onsite)...Recovery Agency (FLACRA) is a growing, not-for-profit provider of behavioral health and substance use treatment services… more
- Molina Healthcare (North Las Vegas, NV)
- …professionals in some or all of the following functions: care management, utilization management, behavioral health , care transitions, long-term services ... * Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with… more
- Humana (Indianapolis, IN)
- …administration and strategic management of behavioral and physical health services, including Utilization Management (UM), Quality Improvement, and ... health first** The Chief Psychiatrist oversees our behavioral health (BH) clinical program for our...Quality Management (QM) program; and work closely with the Utilization Management (UM) of services and associated appeals related… more
- Corewell Health (Grand Rapids, MI)
- …conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health , Care Management, and Utilization Management ... in the educational plans for staff. Reports to either a Director of Behavioral Health , Care Management, or Utilization Management with matrix reporting to… more
- Johns Hopkins University (Baltimore, MD)
- …enrollment and appointments for specialty substance use services and behavioral health care. + Manage tracking and utilization of resources. + Register ... Young Adult Medicine is seeking a full time **_Substance Use & Behavioral Health Linkage_** . Under the direct supervision of the Co-Principal Investigators and… more
- HCA Healthcare (Dulles, VA)
- …Hospital Center! **Manages the day-to-day operations of the Behavioral Health Nursing Department through effective utilization of self, shift House ... **Introduction** Do you have the career opportunities as a Nurse Manager Behavioral Health you want in your current role? We invest in what matters… more
- CVS Health (Austin, TX)
- …applicants whose only acute care experience is in behavioral health ) **Preferred Qualifications** + 1+ years' experience Utilization Review experience ... At CVS Health , we're building a world of health...Job Description Primary Job Duties & Responsibilities Drives effective utilization management practices by ensuring appropriate and cost-effective allocation… more
- CVS Health (Austin, TX)
- …applicants whose only acute care experience is in behavioral health ) **Preferred Qualifications** + 1+ years' experience Utilization Review experience ... At CVS Health , we're building a world of health...with heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote… more