- Campbell County Health (Gillette, WY)
- … field. ESSENTIAL FUNCTIONS Provides assessment, diagnosis, and treatment for behavioral health clients. Provides clinically appropriate therapy, utilizing best ... from diverse cultural backgrounds. Adheres to established policies and procedures for Behavioral Health services, Kid Clinic and Campbell County Memorial… more
- Alameda Health System (San Leandro, CA)
- Clinical Nurse III, Acute Inpatient Behavioral Health Utilization Management + San Leandro, CA + John George Psychiatric Hospital + JGP Care Coordination + ... Nursing Program required; Bachelor's degree in Nursing preferred. Minimum Experience: Previous Behavioral Health Utilization Management or Care Management… more
- Centene Corporation (Salem, OR)
- …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
- AmeriHealth Caritas (LA)
- **Role Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical ... request clarification. The BH UM Reviewer will use his/her professional judgment to evaluate the request to ensure that...in Social Work + Minimum of 2 years of behavioral health experience and substance use disorder… more
- PeaceHealth (Bellingham, WA)
- **Description** PeaceHealth is seeking a RN Admissions/ Utilization Behavioral Health - Care Management for a Full Time, 1.00 FTE, Day position. The salary ... monitor for change of status and notify payer. + Provide admission support to Behavioral Health unit/ED/SECU as needed. Assist MSW with initial assessments, as… more
- MVP Health Care (Tarrytown, NY)
- …, and an **Inclusive Workplace** . The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental health and ... continuous improvement. To achieve this, we're looking for a ** Professional , Behavioral Health ** to join...with at least 2 years being ASD related + Utilization or Case Management experience in a managed care… more
- UnityPoint Health (Cedar Rapids, IA)
- …site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in coordinating ... the department's interdisciplinary effort to assess and promote appropriate utilization of health care resources, provision of...State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional… more
- CVS Health (Austin, TX)
- …applicants whose only acute care experience is in behavioral health ) **Preferred Qualifications** + 1+ years' experience Utilization Review experience ... At CVS Health , we're building a world of health...Job Description Primary Job Duties & Responsibilities Drives effective utilization management practices by ensuring appropriate and cost-effective allocation… more
- Elevance Health (Las Vegas, NV)
- …call center The **Manager Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral ... laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure...+ MS in social work, counseling, psychology or related behavioral health field or a degree in… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …years of the General Experience must have been working with persons with behavioral health disabilities or an intellectual disability. DEPARTMENT OF VETERANS ... Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251212-5613FP-001 Location East Hartford, CT Date Opened 12/16/2025 12:00:00 AM Salary… more
- LifeCenter Northwest (Bellevue, WA)
- …Salary Position Type Full Time Description and Qualifications The Director, Organ Utilization (Director), is responsible for overseeing the processes and teams that ... and executes strategies to improve organ allocation strategy and organ utilization , collaborates closely with transplant programs and the surgical recovery team… more
- Highmark Health (Harrisburg, PA)
- …effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource ... utilization , identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and… more
- Tenet Healthcare (Detroit, MI)
- …: Minimum Qualifications BSN preferred. At least two (2) years acute hospital or Behavioral Health patient care experience required. One (1) year hospital acute ... we provide a comprehensive benefit package that prioritizes your health , professional development, and work-life balance. The...or behavioral health case management experience preferred. Active… more
- LifeCenter Northwest (Bellevue, WA)
- …Position Type Full Time Description and Qualifications The Manager, Organ Utilization (OUM) provides strategic leadership and operational oversight for the Organ ... Utilization Coordinator Team (OUCT), directing key aspects of abdominal...mentor team members through constructive feedback, skill development, and professional growth opportunities. + Conduct regular performance evaluations, set… more
- Centene Corporation (Austin, TX)
- …POSITIONS ARE REMOTE/WORK FROM HOME SUPPORTING CHILDREN AND ADOLECENTS ABA BEHAVIORAL HEALTH .** **ABA EXPERIENCE REQUIRED. BCBA STRONGLY PREFERRED. ACTIVE ... of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + Board… more
- Elevance Health (Tampa, FL)
- …is responsible for managing a team of physical and/or behavioral health practitioners responsible for coordinating member service, utilization , access, care ... management and/or concurrent review to ensure cost effective utilization of health , mental health ,...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Banner Health (Glendale, AZ)
- …want to be part of, we want to hear from you. Bring your passion for Behavioral Health to **Banner Thunderbird Medical Center- BTMC!** Our Behavioral ... mental health diagnoses as well as those behavioral health patients whom have co-morbidities that...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
- AmeriHealth Caritas (Washington, DC)
- …Medical Director for further review. The reviewer independently applies medical and behavioral health guidelines to authorize services, ensuring they meet the ... managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover… more
- Centene Corporation (Phoenix, AZ)
- …to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards ... everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team....licensure as outlined by the applicable state (BCBA) required. Behavioral health clinical knowledge and ability to… more
- Elevance Health (Las Vegas, NV)
- …you will be assigned a shift between 7:00 AM and 5:00 PM Pacific. The ** Behavioral Health (BH) Utilization Management Representative II** is responsible for ... ** Utilization Management Representative II** **Location** : This role...field preferred. + For URAC accredited areas, the following professional competencies apply: Associates in this role are expected… more
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