- Marion County (Salem, OR)
- …manages the planning, development, support and delivery of efficient and high-quality mental health , behavioral health or health administration services ... is looking for an adaptable, collaborative, and experienced Program Manager who will assist the department in achieving its...provide back-up and support to other programs of the Behavioral Health Division with an eye toward… 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
- CVS Health (Salt Lake City, UT)
- …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
- AmeriHealth Caritas (Robbinsville, NJ)
- …including triage of calls, care coordination and utilization management. The Behavioral Health Care Manager facilitates access to behavioral ... ** Behavioral Health Care Manager Mon-Fri 10:00 am--6:30 pm w/rotating weekends & holidays** Location: Robbinsville, NJ Primary Job Function: Behavioral … more
- Humana (Columbus, OH)
- … first** Humana Healthy Horizons in Virginia is seeking a Manager , Utilization Management ( Behavioral Health ) who will utilize their clinical skills ... health services and/or benefit administration determinations. The Manager , Utilization Management ( Behavioral Health ) applies a Person-Centered… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - ... specialty programs to serve adolescents, adults, and older adults, and perform behavioral health assessments 24-hours a day. Additionally, programs for… more
- Universal Health Services (Gulfport, MS)
- Responsibilities Gulfport Behavioral Health System (a UHS facility): Gulfport Behavioral Health System, is a 90-bed psychiatric hospital offering child, ... adolescent, adult and military service behavioral health programs and treatment services. For...at www.gulfportbehavioral.com/ Position Summary: Join a team where the Utilization Review Manager assumes responsibility for the… more
- Beth Israel Lahey Health (Burlington, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm ... Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and monitors quality assurance for Lahey Clinic inpatient… more
- Universal Health Services (Panama City, FL)
- Responsibilities Utilization Review Manager Opportunity Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and ... ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access… more
- Ventura County (Ventura, CA)
- …participate in site certification and provider credentialing. APPROXIMATE SALARIES ANNUAL SALARIES Behavioral Health Manager I: $100,736.96 to $141,031.76 ... Behavioral Health Manager II: $105,682.23 to $147,969.63 NOTE: If appointed at...appeals, and Notices of Actions + Behavioral health clinical policies and procedures + Utilization … more
- Banner Health (Scottsdale, AZ)
- … systems and help make our patients' lives easier. Apply today. Bring your passion for Behavioral Health to Banner Health ! **Banner Behavioral Health ... state-of-the art units for our patients and staff! Banner Behavioral Health Hospital is a voluntary facility...patient's needs. We are in need of a Case Manager with at least one year of experience. The… more
- AmeriHealth Caritas (Newark, DE)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... ** Utilization Management Plan Oversight Manager , Registered...now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate… more
- CVS Health (Springfield, IL)
- …issues. * Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the ... care issues through established channels * Ability to speak to medical and behavioral health professionals to influence appropriate member care. * Utilizes… more
- CVS Health (Harrisburg, PA)
- …- Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... of care issues through established channels -Ability to speak to medical and behavioral health professionals to influence appropriate member care. - Utilizes… more
- CareOregon (Medford, OR)
- …Health Program Manager - Adult System of Care Exemption Status Exempt Department Behavioral Health Manager Title Director, Behavioral Health - ... system of care principles and practices + Knowledge of Behavioral Health managed care practice, including utilization management, population health … more
- CVS Health (Lansing, MI)
- …and engaged in interventions that optimize member participation in case management programs. Behavioral Health Case Manager utilizes advanced clinical ... issues.* Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the… more
- Corewell Health (Grand Rapids, MI)
- …Clinical Manager provides clinical and operational management over all behavioral health programming and services delivered to the organization's membership ... Functions + Provides operational management over the Behavioral Health Outpatient Prior Authorization program, Utilization Management, Outpatient Case… more
- Highmark Health (Pittsburgh, PA)
- …+ 3 years with utilization review/management + 1 year as a supervisor or manager of Utilization /Case Management with a Managed Care Organization + 1 year in ... (CMS), Department of Public Welfare (DPW), Pennsylvania Department of Health (DOH), and the National Committee on Quality Assurance...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Elevance Health (Rocky Hill, CT)
- …of care.** **BH Care Manager II** Responsible for authorizing and reviewing utilization of mental health and substance use disorder through telephonic or ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...(BCBA) is also acceptable. + Previous experience in case management/ utilization management with a broad range of experience with… more
- Elevance Health (Rocky Hill, CT)
- ** Behavioral Health Care Manager II** **This is a remote, individual contributor role; however, it is expected for the person in this role to live in the ... - Friday 8:30 am to 5 pm EST.** The Behavioral Health Care Manager II...is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with… more
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