- UNC Health Care (Smithfield, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders,… more
- AmeriHealth Caritas (Dublin, OH)
- ** Utilization Management Plan Oversight Manager ** Location: Dublin, OH Primary Job Function: Medical Management ID**: 37872 Your career starts now. We ... Chief Medical Officer for the Ohio Market, this position is representing Utilization Management (UM) in state interactions/audits, validation of regulatory… more
- Molina Healthcare (NV)
- …not a compact state at this time.** **Prior experience with managed care (Medicaid, Medicare) Utilization Management processes and 3 + years in management / ... performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
- WellSpan Health (York, PA)
- …to ensure appropriate, cost effective treatment and identify areas where both utilization management personnel can collaborate. + Assists with the collection ... Utilization Care Manager Location: York Hospital,...treatment services. Required and + Previous quality assessment and utilization management experience. Required + Experience with… more
- Prime Healthcare (National City, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/174432/case- manager utilization - management ... emergency services. In addition to our healthcare services, we offer comprehensive behavioral health services on the hospital campus and Bayview campus in Chula… more
- Hartford HealthCare (Torrington, CT)
- …Master's degree in Social Work * Active LCSW required * Two years with behavioral health utilization review As a Hartford HealthCare entity, Charlotte Hungerford ... moment*. **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care Manager (LCSW) -… more
- Elevance Health (Olathe, KS)
- …managers (UM).** The ** Manager of Behavioral Health** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health ... issues. Hires, trains, coaches, counsels, and evaluates performance of direct reports. ** Utilization Management :** **Responsibilities for BH UM may include:** +… more
- Acacia Network (Bronx, NY)
- Acacia Network Inc. Utilization Manager Bronx, : 5/30/2024 Job Description Job ID#: 3904 Job Category: Acacia Network Inc. Position Type: Full Time Details: ... the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are...Degree preferred) + Minimum of 2 years of case management and/or utilization review experience + Strong… more
- HCA Healthcare (Campbell, CA)
- …purpose and integrity. We care like family! Jump-start your career as a(an) Utilization Management RN today with HCA Healthcare. **Benefits** HCA Healthcare, ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...vary by location._** Come join our team as a(an) Utilization Management RN. We care for our… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/171837/case- manager %2c-rn utilization ... services in specialties including Cardiovascular, Surgical, Orthopedics, Maternal-Child Health, Behavioral Health and Emergency and Trauma Care. In addition, the… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …to transform healthcare and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding of ... behavioral health resource management to review and coordinate the care for a...level of care setting for continued treatment. Employs the utilization management process to assist in setting… more
- FLACRA (Clifton Springs, NY)
- …of work experience in the behavioral health field with knowledge of utilization management practices. Valid NYS Drivers' License. Get job alerts by email. ... PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area...Netsmart to successfully transition the Chart to a Care Manager once enrolled. 5. Document all efforts of enrollment… more
- Ventura County (Ventura, CA)
- Behavioral Health Equity Services Manager - Bilingual Required Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4359714) Apply Behavioral ... Continuous + Description + Benefits + Questions Description Under direction of the Behavioral Health Director, the Equity Services Manager (ESM) promotes and… more
- Evolent Health (Columbus, OH)
- …contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Client Services. In ... the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as...proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via… more
- AmeriHealth Caritas (Harrisburg, PA)
- …applicable, as well as the larger primary care team. The CCM is responsible for proving utilization management and both case and care management , as well as ... ** Behavioral Health Care Manager --PerformCare Pennsylvania** Location:...most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …EEOP Utilization report please visitwww.iowacourts.gov/career-opportunities Summary: The Statewide Behavioral Health Manager is responsible for working with ... Statewide Behavioral Health Manager - Children's Justice...services, including program and staff supervisory experience or organizational management experience. How to Apply (NeoGov): For instructions on… more
- LifeCenter Northwest (Bellevue, WA)
- Organ Utilization Administrative Coordinator Job Details Job Location Bellevue - Bellevue, WA Position Type Full Time Salary Range $23.55 - $34.15 Hourly Description ... and Qualifications The Organ Utilization Administrative Coordinator is responsible...matters . ESSENTIAL JOB FUNCTIONS Administrative Responsibilities + Calendar management and meeting support - Manage the calendar of… more
- Hartford HealthCare (Newington, CT)
- …moment./* **Job:** ** Management * **Organization:** **Hartford HealthCare Corp.* **Title:** * Behavioral Health Bed Manager / Care Logistics Center* ... recognition programs and other common practices across the system. *_Position Summary:_* The Behavioral Health Bed Manager is responsible for the placement of… more
- AmeriHealth Caritas (Southfield, MI)
- …applicable, as well as the larger primary care team. The CCM is responsible for proving utilization management and both case and care management , as well as ... ** Behavioral Health Care Manager , MSN/LCSW/LMSW** Location:...most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- Spokane County (Spokane, WA)
- …Review Integrated Care Coordinator: + Performs utilization management , utilization review, or concurrent review of behavioral health inpatient and ... agency meetings. + Attends regular supervision with the Integrated Behavioral Healthcare Manager to maintain quality of...substance use disorder assessment and treatment. + Knowledge of utilization management of public behavioral … more
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