- Geisinger (Danville, PA)
- Job Title: Chief Nurse Practitioner Behavioral Health Location: Danville, Pennsylvania Job Category: Nurse Practitioner, Advanced Practice Schedule: Days Work ... System Chief AP, for clinical responsibilities. Job Duties Chief Nurse Practitioner Behavioral Health - Outpatient Provides ongoing coordination and supervision… more
- Saint Vincent Hospital (Worcester, MA)
- …1 years of acute hospital experience and/or 1 year experience in outpatient behavioral health setting Certifications: Required: LiCSW or LMHC. Must be currently ... a continuum through effective resource coordination to help patients achieve optimal health , access to care, and appropriate utilization of resources, balanced… more
- HCA HealthONE Rose (Denver, CO)
- …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 ... Benefits HCA HealthONE Rose offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs… more
- Humana (Little Rock, AR)
- …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… more
- CVS Health (Harrisburg, PA)
- …. No weekends or holidays. + 1+ years of utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in a ... 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… more
- CVS Health (Phoenix, AZ)
- …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate,...a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM… 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 ... Job Duties * Assists in implementing health management , care management , utilization management , behavioral health and other program… more
- Point32Health (MA)
- …. **Job Summary** Under the supervision of the Utilization Management Supervisor, the Behavioral Health (BH) Utilization ... requirements. The BH UM Clinician works collaboratively with the Behavioral Health leadership within the Behavioral...credential. Must demonstrate sound knowledge of utilization management and care management principles. Health… more
- UnityPoint Health (Cedar Rapids, IA)
- …This position is on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves ... a fulfilling career and make a difference with UnityPoint Health . Responsibilities Utilization Management +...State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional communication… more
- Henry Ford Health System (Troy, MI)
- …implements and executes strategies for related to HAP's population health focus (care management , utilization management , behavioral health ) to ... and authority KEY RELATIONSHIPS:Senior Vice President, Chief Medical Officer AVP, Population Health Management AVP, Quality Improvement and Management Senior… more
- Molina Healthcare (Grand Rapids, MI)
- …chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and… more
- Immigration and Customs Enforcement (Washington, DC)
- …Perform other duties and responsibilities as assigned. 16. Utilization review/ management for inpatient behavioral health hospitalization for IHSC. ... Summary The Behavioral Health Case Manager is a...case coordination/ management , monitoring high risk individuals, independent behavioral health reviews, behavioral … more
- Molina Healthcare (Columbus, OH)
- …professionals in some or all of the following functions: care management , utilization management , behavioral health , care transitions, long-term ... or more of the following areas: utilization management , care management , care transitions, behavioral health , long-term services and supports (LTSS),… more
- Centene Corporation (Springfield, IL)
- …experience in various mental health settings especially inpatient behavioral health units, utilization management / review, and youth or pediatric ... services.** Additional Details: * Department: Illinois Utilization Management * Business Unit: Illinois Health Plan * Schedule: Monday through Friday 8-4:30… more
- Molina Healthcare (Bowling Green, KY)
- …professionals in some or all of the following functions: care management , utilization management , behavioral health , care transitions, long-term ... Job Duties * Assists in implementing health management , care management , utilization management , behavioral health and other program… more
- Spectrum Billing Solutions (Skokie, IL)
- …+ Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR Specialist ... Review Specialist | ABA Utilization Review Specialist | ABA Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing… more
- Molina Healthcare (AZ)
- …while contributing to enterprise-wide strategies for integrated behavioral health programs, utilization management standardization, and cost-effective ... psychiatric leadership and clinical expertise for utilization management , case management , and integrated behavioral health /chemical dependency… more
- Molina Healthcare (TX)
- …professionals in some or all of the following functions: care management , utilization management , behavioral health , care transitions, long-term ... Job Duties * Assists in implementing health management , care management , utilization management , behavioral health and other program… more
- Elevance Health (Atlanta, GA)
- …abuse cases preferred. **Preferred Skills, Capabilities and Experiences:** + Experience in behavioral health utilization management is highly ... Behavioral Health Care Manager I- ... Behavioral Health Care Manager I- Behavioral ...there is licensed staff supervision. Previous experience in case management / utilization management with a broad… 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 ... Provides strategic and clinical leadership for Behavioral Health across all clinical functions ( Utilization Management , Care Management , Quality, and… more
