- Commonwealth Care Alliance (Boston, MA)
- …improvement. - Minimum five (5) years of clinical experience in medical or behavioral health care delivery Required Knowledge, Skills & Abilities: - Medicare ... and evaluates efficiency and productivity of utilization management functions for physical health services and long term services and supports. Works closely with… more
- COLLIN COUNTY MENTAL HEALTH RETARDATION CENTER (Mckinney, TX)
- …highly desired Knowledge of Texas Administrative Codes, Texas Certified Community Behavioral Health Clinic (T-CCBHC) certification criteria, SAMHSA grant ... requires management of budgets, supervision of workforce at various professional levels, response to complaints of individuals served and...standards, and UM Guidelines related to Community Mental Health … more
- 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
- Common Ground (Flint, MI)
- Exciting Career Opportunity! The Behavioral Health Utilization Management ( UM ) Specialist is responsible for reviewing and evaluating mental health and ... guidelines. This role supports quality care delivery while managing behavioral health resources efficiently. To view full...disorder Certifications + Meets criteria as a Qualified Mental Health Professional (QMHP) defined by the State… more
- Elevance Health (Cerritos, CA)
- A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... insightful analytics to improve the delivery of care. **Title:** Behavioral Health Care Manager I **Locations:** CA...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… more
- Elevance Health (NC)
- ** Behavioral Health Care Manager I (2nd...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure ... (Work every other weekend - Saturday and Sunday) The ** Behavioral Health Care Manager I (2nd Shift)-...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- Elevance Health (FL)
- ** Behavioral Health - Care Manager II**...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure ... an accommodation is granted as required by law. The ** Behavioral Health - Care Manager II** is...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- Elevance Health (Nashville, TN)
- ** Behavioral Health Care Manager II -...laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure ... law._ **Shift & Hours:** Monday - Friday, 8:00AM-5:00PM The ** Behavioral Health Care Manager II - Licensed... healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to… more
- Elevance Health (Indianapolis, IN)
- ** Behavioral Health Care Manager I** Carelon ...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in ... 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
- Centene Corporation (Madison, WI)
- …THE POTENTIAL OF WEEKEND AND HOLIDAY ROTATIONS **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate ... day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… 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
- Elevance Health (Charleston, WV)
- …initiatives. **Minimum Requirements:** + Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 ... LMFT LMSW or Clinical Psychologist to practice as a health professional within the scope of licensure...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral… more
- Saint Francis Health System (Tulsa, OK)
- …the level of care utilization. Assures compliance with Managed Care Behavioral Health standards in the area of UM procedures and documentation to permit ... therefrom or Master's degree in Social Work, Counseling or related behavioral health field. Licensure, Registration and/or Certification: Valid multi-state… 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
- Molina Healthcare (Savannah, GA)
- …+ 3 or more years in case, disease or utilization management; managed care; or medical/ behavioral health settings. + 3 or more years in a training, auditing ... years in case, disease or utilization management; managed care; or medical/ behavioral health settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :… more
- Commonwealth Care Alliance (Boston, MA)
- …improvement. * Minimum five (5) years of clinical experience in medical or behavioral health care delivery Required Knowledge, Skills & Abilities: * Medicare ... and evaluates efficiency and productivity of utilization management functions for physical health services and long term services and supports. Works closely with… 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
- University of Michigan (Dearborn, MI)
- …their excellence in scholarship and teaching and are actively engaged in professional and academic service. UM -Dearborn offers ample opportunities for creative, ... teaching statement, research statement, and the names of three professional references to the (INTERFOLIO LINK (https://apply.interfolio.com/173478) ). Teaching and… more
- University of Miami (Coral Gables, FL)
- …. The University of Miami's Autism Spectrum Assessment Clinic (https://umasac.psy.miami.edu/) ( UM ASAC), an affiliated clinic of the University of Miami's Center ... for Autism and Related Disabilities (https://www.card.miami.edu/) ( UM CARD), has an open psychologist position available within the Department of Psychology… more
- Molina Healthcare (NM)
- …Summary Provides support for member clinical service review processes specific to behavioral health . Responsible for verifying that services are medically ... May work collaboratively with appropriate departments to provide applied behavior analysis (ABA)/ behavioral health therapy (BHT) services to Molina members with… more
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