- Magellan Health Services (Boise, ID)
- …for RN, Masters or Doctoral level provider. General Job Information Title Clinical Manager, Behavioral Health ( UM ) -Licensed, Remote in Idaho Grade 27 Work ... and providers. Thorough knowledge of healthcare services in physical health , behavioral health or other...Social Worker - Care MgmtCare Mgmt, LPCC - Licensed Professional Clinical Counselor - Care MgmtCare Mgmt, LPC -… more
- Magellan Health Services (Boise, ID)
- …LCSW, LSW, LPC or RN. Minimum 2 years experience post degree in healthcare, behavioral health , psychiatric and/or substance abuse health care setting. Strong ... members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings.… more
- Elevance Health (Atlanta, GA)
- ** Behavioral Health Care Manager II** **Be...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- Elevance Health (Winston Salem, NC)
- ** Behavioral Health Care Manager I (3rd Shift...LPC, LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in ... on holidays as part of a rotating schedule._ The ** Behavioral Health Care Manager I (3rd Shift...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- Humana (Tampa, FL)
- …caring community and help us put health first** The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve ... care and wellbeing of members. The Field Care Manager, Behavioral Health 2 work assignments are varied...settings. SW will facilitate case conferences, as needed, with UM team, medical directors, members and providers. SW will… more
- Elevance Health (Wallingford, CT)
- …for employment, unless an accommodation is granted as required by law._ The ** Behavioral Health Care Manager II** is responsible for managing psychiatric and ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… more
- Elevance Health (Los Angeles, CA)
- **JR162375 Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... with an emphasis on Outpatient Providers. + Performs timely Behavioral Health utilization reviews. + Work with...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… more
- Defense Health Agency (Falls Church, VA)
- …(CAFBHS); Family Advocacy Program (FAP); BH Training (BHTRAINING); BHSL Utilization Management (BHSL UM ); Primary Care Behavioral Health (PCBH); and BH ... office setting and can require travel on a regular basis between the various Behavioral Health locations. Also may require frequent travel to the DHA… more
- Elevance Health (Indianapolis, IN)
- ** Behavioral Health Care Manager II - Indiana** A...LMSW LMHC LPC , or LMFT** to practice as a health professional within the scope of licensure **in ... proud member of the Elevance Health family of companies, **Carelon Behavioral Health ** , offers superior clinical mental health and substance use… more
- Centene Corporation (Phoenix, AZ)
- …meetings at our Tempe and/or Tucson offices.** **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care ... and facilitates operations within utilization management. + Oversees the behavioral health (BH) utilization review clinicians and...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Omaha Children's Hospital (Omaha, NE)
- …us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are ... including veterans and people with disabilities. **A Brief Overview** Utilization Management ( UM ) is a specialty area of Nursing Case Management (NCM) and is… more
- Omaha Children's Hospital (Omaha, NE)
- …us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are ... including veterans and people with disabilities. **A Brief Overview** Utilization Management ( UM ) is a specialty area of Nursing Case Management (NCM) and is… more
- Independent Health (Buffalo, NY)
- …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Behavioral Health Case Manager is primarily responsible for managing ... behavioral health benefits through the administration of quality improvement functions....worker (LMSW), master's in social work (MSW), licensed mental health counselor (LMHC), licensed professional counselor (LPC),… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- … health care services. Examples may include: Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian and Respiratory Therapist + ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- Centene Corporation (Springfield, IL)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Sharp HealthCare (San Diego, CA)
- …Sharp Health Plan's (SHP) physicians (Medical Directors (both medical and behavioral health ) and the Physician Reviewers) to coordinate the necessary ... co-management of our members related to their medical, behavioral health and pharmacy needs. This position...IT management, etc. + Plans, organizes, and directs the professional medical services program, consisting of all primary and… more
- CVS Health (Oklahoma City, OK)
- …Qualifications** + Must reside in Oklahoma + Oklahoma-licensed RN or Mental Health Professional - Licensed Professional Counselor (LPC), Licensed Marriage ... RN, BSN degree preferred **Education** Master's Level of Education resulting in independent Behavioral Health licensure (LCSW, LPC, LMFT,) or if RN, Associate… more
- CenterWell (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management ( UM ) Administrative Coordinator 2 is responsible for providing ... serves as a key liaison between providers and internal UM teams, ensuring timely and accurate processing of referral...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Magellan Health Services (Bethlehem, PA)
- …Therapist - Licensed Professional Counselor Minimum five years experience in behavioral health . Masters in Psychology, Social Work or Counseling. General Job ... Yardley or Bethlehem, PA areas (Eastern area of PA). Behavioral health licensure in one of the...Worker - Licensed Marriage and Family Therapist - Licensed Professional Counselor Masters in Psychology, Social Work or Counseling.… more
- CVS Health (Tallahassee, FL)
- …other clinical services that are evidence-based. * Work collaboratively with the Behavioral Health , Pharmacy, Member Outreach, Care Management, National Quality ... Utilization Management, Compliance, and other departments to integrate social, behavioral , and physical health and improve clinical...or other presentations (written or oral) that support the health plan in a professional and effective… more
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