- Optum (Salina, KS)
- …scale. Join us to start Caring. Connecting. Growing together. About the Role As a Behavioral Health Care Advocate, you will be responsible for case management ... or Registered Nurse with 2+ years of experience in behavioral health Active, unrestricted license in Kansas:...in an environment that required coordination of benefits and utilization of multiple groups and resources for patients Experience… more
- Geisinger (Wilkes Barre, PA)
- …22 new emergency treatment rooms * Creating dedicated emergency room (ER) space for behavioral health patients * Expanding trauma capabilities * 24 new intensive ... Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 05/08/2025...2028. Benefits of working at Geisinger: * Full benefits ( health , dental and vision) starting on day one *… more
- Geisinger (Wilkes Barre, PA)
- …22 new emergency treatment rooms * Creating dedicated emergency room (ER) space for behavioral health patients * Expanding trauma capabilities * 24 new intensive ... and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 04/29/2025 Job ID: R-77849… more
- Geisinger (Wilkes Barre, PA)
- …22 new emergency treatment rooms * Creating dedicated emergency room (ER) space for behavioral health patients * Expanding trauma capabilities * 24 new intensive ... Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 05/01/2025...2028. Benefits of working at Geisinger: * Full benefits ( health , dental and vision) starting on day one *… more
- Summit Medical Consultants LLC (Roanoke Rapids, NC)
- …across disciplines, working closely with Hospitalists, Specialists, Therapists, Case Managers, and Behavioral Health to ensure the best outcomes for our ... safety, and regulatory benchmarks for clinical care and documentation. * Support practice-wide utilization and care management goals. * Engage in peer reviews,… more
- AmeriHealth Caritas (LA)
- **Role Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing ... products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) services for members, ... of services requested for the diagnosis and treatment of members' behavioral health conditions, applying established clinical review criteria, guidelines… 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 ... the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate,...a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM… more
- Molina Healthcare (Cincinnati, OH)
- …professionals in some or all of the following functions: care management , utilization management , behavioral health , care transitions, long-term ... Job Duties * Assists in implementing health management , care management , utilization management , behavioral health and other program… more
- UPMC (Pittsburgh, PA)
- …responsibilities. This role is dedicated to driving effective utilization management for behavioral health services, ensuring appropriate, timely, ... This role will review requests for authorization for behavioral health services. The Utilization Management (UM) Care Manager is responsible for … more
- UnityPoint Health (Cedar Rapids, IA)
- …S + Shift: 0900-1700 + Job ID: 174223 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves ... a fulfilling career and make a difference with UnityPoint Health . Responsibilities Utilization Management +...State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional communication… more
- Molina Healthcare (Chandler, AZ)
- …chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and… more
- Immigration and Customs Enforcement (Washington, DC)
- …Perform other duties and responsibilities as assigned. 16. Utilization review/ management for inpatient behavioral health hospitalization for IHSC. ... Summary The Behavioral Health Case Manager is a...case coordination/ management , monitoring high risk individuals, independent behavioral health reviews, behavioral … more
- Molina Healthcare (Reno, NV)
- …professionals in some or all of the following functions: care management , utilization management , behavioral health , care transitions, long-term ... or more of the following areas: utilization management , care management , care transitions, behavioral health , long-term services and supports (LTSS),… more
- Spectrum Billing Solutions (Skokie, IL)
- …+ Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR Specialist ... Review Specialist | ABA Utilization Review Specialist | ABA Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing… more
- CVS Health (Oklahoma City, OK)
- …stakeholders to identify and address patient needs (eg care team, social work, behavioral health , utilization management , Hard-to-Reach, Central ... follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and...we looking for?** **Required Qualifications** + Active RN or Behavioral Health (BH) license in good standing… more
- Centene Corporation (Austin, TX)
- … Health goals for the product. + Take a macro-level view of behavioral health utilization management responsibilities to optimize clinical resource ... Provides strategic and clinical leadership for Behavioral Health across all clinical functions ( Utilization Management , Care Management , Quality, and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Services Coordination Specialist provides administrative support for any of the programs of Utilization Management , Behavioral Health , Quality ... tasks under pressure. + Demonstrates proficiency in basic navigation and utilization of department specific applications: care management system, department… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health , Pharmacy, Registered ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- Molina Healthcare (Las Vegas, NV)
- …Job Duties * Performs audits in utilization management , care management , member assessment, behavioral health , and/or other clinical teams, and ... Preferred Qualifications * Utilization management , care management , behavioral health and/or long-term services and supports (LTSS) clinical… more
Related Job Searches:
Behavioral,
Behavioral Health,
Behavioral Health Utilization,
Health,
Management,
Utilization,
Utilization Management