- Humana (Little Rock, AR)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- CVS Health (Phoenix, AZ)
- …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- Centene Corporation (Phoenix, AZ)
- …**Position Purpose:** Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical ... + Evaluates member's care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and… more
- Elevance Health (Atlanta, GA)
- …abuse cases preferred. **Preferred Skills, Capabilities and Experiences:** + Experience in behavioral health utilization management is highly preferred. + ... are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and...there is licensed staff supervision. Previous experience in case management / utilization management with a broad… more
- Elevance Health (Winston Salem, NC)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health Care Manager II (ABA)** **Sign-on bonus:...supervision. Previous experience in case management / utilization management with a broad… more
- Centene Corporation (Bedford, NH)
- …+ Experience with managed care, case management , utilization management , or quality improvement required + For Applied Behavior Analysis Services ... with providers and healthcare teams to review care services related to Applied Behavioral Analysis Services preferred **Licenses/Certifications:** + LCSW -… more
- Elevance Health (Las Vegas, NV)
- … behavioral health field, and minimum of 3 years of experience with applied behavioral analysis and autism services; or any combination of education and ... are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only. +...requirement for this position. + Previous experience in case management / utilization management with a broad… more
- Sevita (Lowell, MA)
- **Mentor South Bay** , provides Early Intervention, Applied Behavioral Analysis (ABA), Behavioral Health and Mental Health Outpatient services across ... for performance evaluations, orientation, scheduling, and training + Ensures consistent utilization of applied behavior analysis techniques and promotes a… more
- Elevance Health (Indianapolis, IN)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health Care Manager II - Autism** **Location:**...supervision. + Previous experience in case management / utilization management with a broad… more
- Elevance Health (Norfolk, VA)
- …Skills, Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) ... ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required… more
- Elevance Health (Morristown, NJ)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... supervision.) **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of… more
- Elevance Health (Los Angeles, CA)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health - Care Manager II** **Location:** _Virtual:_...supervision. + Previous experience in case management / utilization management with a broad… more
- Elevance Health (Atlanta, GA)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... an accommodation is granted as required by law._ The Behavioral Health Care Manager I is responsible for managing...supervision. + Previous experience in case management / utilization management with a broad… more
- The County of Los Angeles (Los Angeles, CA)
- …predictive and prescriptive analytics, to support data-driven program design and management ; and produces dashboards, reports, and other advanced data visualization ... and prevention services including but not limited to forecasting utilization and cost, cost/finance analyses, cost-effectiveness analyses, and predictive/prescriptive… more
- Sevita (MN)
- …strategy to increase census, maintain occupancy, improve daily attendance, and maximize utilization . **Financial Management ** 1. Management : Responsible for ... to $30 million in annual revenue. + Key Responsibilities: + Operational Management : Oversees service delivery and ensures alignment with state-level goals. +… more
- CVS Health (Richmond, VA)
- …Aetna. **Expectations and Responsibilities:** * Serve as the principal utilization management reviewer for cases related to Applied Behavior Analysis (ABA). ... medical directors. * Attend and actively participate in clinical meetings with care management and utilization management teams, offering subject matter… more
- Molina Healthcare (Louisville, KY)
- …with multidisciplinary teams to promote Molina care model. * Adheres to utilization management (UM) policies and procedures. * May work collaboratively ... with appropriate departments to provide applied behavior analysis (ABA)/ behavioral health therapy (BHT)...medical directors, and senior medical directors to ensure proper management of the BHT benefit. Required Qualifications * At… more
- Battelle Memorial Institute (Fort Bragg, NC)
- …as directed by the unit Commander of his/her designee + Conduct applied research and clinical investigations in clinical/ behavioral health/organizational social ... environment. The Licensed Clinical Social Worker position serves as a behavioral health care provider within operational units, delivering evidence-based assessment,… more
- KBR (San Diego, CA)
- …all quality improvement and staff meetings , conferences + Conduct applied research and clinical investigations in clinical/ behavioral health/organizational ... Licensed Clinical Social Worker will function within an operational unit, as a Behavioral Health Care Provider and is responsible for the application of social work… more
- The County of Los Angeles (Los Angeles, CA)
- …or a psychiatrist, positions in this class perform psychotherapy and clinical case management with clients, families, and significant others to help resolve or find ... problem, which may include individual, group, family or marital counseling, case management , and/or referral to another treatment source such as a psychiatrist, a… more