- 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 / ... Counseling; Licensed Ph.D., or Registered Nurse with 2+ years of experience in behavioral health Active, unrestricted license in Kansas: LP, LPC, LCP, LCPC,… more
- Battelle Memorial Institute (Columbus, OH)
- …working in a dynamic, mission-driven environment. This position supports outpatient behavioral health activities by conducting intake interviews, assisting with ... + Assist with the management and treatment of outpatient behavioral health activities + Under the supervision...program policy + Coordinate attendance and agenda at Case Review Committee with military and civilian agencies + Coordinate… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating ... strong, collaborative relationships with behavioral health providers and driving performance improvement...teams to support consistency and quality across BH and Health Home providers. - Participate in case review… more
- Monte Nido (White Plains, NY)
- …Qualifications: + At least 5 years of leadership experience in a behavioral health setting is preferred; may substitute leadership experience elsewhere. ... + Working knowledge of admissions and intake, Utilization Review , and 3rd party or insurance...Experience in an Eating Disorder program or other residential behavioral health setting is very helpful. +… more
- Battelle Memorial Institute (Oceanside, CA)
- …environment. The Licensed Clinical Social Worker position serves as a behavioral health care provider within operational units, delivering evidence-based ... **Responsibilities** + Function within an operational unit as a Behavioral Health Care Provider + Attend and...the electronic medical records of all patients contacted for review by the managing physician + Routinely staff difficult… more
- Commonwealth Care Alliance (Springfield, MA)
- …utilization management systems and workflows for populations with complex medical, behavioral health , and/or social needs. + Strong understanding of ... success. + Conduct regular provider meetings (virtual and in-person) to review performance, discuss program updates, and address operational challenges. + Represent… more
- Battelle Memorial Institute (Sneads Ferry, NC)
- …and experiences and welcome all qualified individuals to apply. **Job Summary** The Health Research and Analytics (HRA) business line is seeking a highly motivated, ... SOF personnel to develop and apply advanced cognitive, mental, and behavioral skills for optimal performance in training and operational environments, utilizing… more
- Monte Nido (Waltham, MA)
- …regulatory agencies. + Conduct psychosocial assessments, participate in treatment planning, utilization review , and discharge planning. + Conduct individual, ... people to realize their healthy selves. **Family Therapist** **Walden Behavioral Care** **Waltham, MA** Walden Behavioral Care...Assistance Program (EAP) + Flexible Spending Account (FSA) + Health Savings Account (HSA) + Paid time off +… more
- Battelle Memorial Institute (Sneads Ferry, NC)
- …and experiences and welcome all qualified individuals to apply. **Job Summary** The Health Research and Analytics (HRA) business line is seeking a highly motivated, ... This position plays a key role in supporting the psychological health and operational readiness of military personnel. The Neuropsychologist provides expert… more
- Monte Nido (Clifton, VA)
- …Qualifications: + At least 5 years of leadership experience in a behavioral health setting is preferred; may substitute leadership experience elsewhere. ... + Working knowledge of admissions and intake, Utilization Review , and 3rd party or insurance...Experience in an Eating Disorder program or other residential behavioral health setting is very helpful. +… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …of practice **(Required)** :- For nurses, required registration (eg RN, ARNP).- For behavioral health , required licensure (eg LMFT, LICSW, LPC, LMHC)- For ... preauthorization, outpatient and inpatient management, case management, retrospective claim review , and delegated management oversight. + Participate in the… more
- Katmai (Fort Carson, CO)
- …levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. Adhere to ... specialized tests, and surgery. + Formulate nursing diagnosis based upon health status data by accurately interpreting assessment data and identifying patient… more
- National Renewable Energy Laboratory (Golden, CO)
- …in this position is contingent upon successful completion of: + Medical evaluation and behavioral health screening, as required by 10 CFR Part 1046. + A ... Emergency Notification System (ENS) sheets and SOPs. Surveillance & Technology Utilization : + Operate CCTV systems for situational awareness and incident response… more
- Centene Corporation (Honolulu, HI)
- …Must have a current state's license **Must have Behavioral Health and Substance Abuse experience. Utilization Management experience strongly preferred.** ... accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH)...health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review… 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...review and approval. Investigate complaints related to detainee behavioral health care and provides reports as… more
- AmeriHealth Caritas (LA)
- **Role Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical ... all information necessary to perform a thorough medical necessity review . It is within the BH UM Reviewer's discretion...in Social Work + Minimum of 2 years of behavioral health experience and substance use disorder… more
- UnityPoint Health (Cedar Rapids, IA)
- …regarding managed care implications - precertification and utilization review procedures. . Provides consultation regarding behavioral health ... the assessment, planning, implementation and evaluation of patient care on the behavioral health units. Responsible for the delivery of patient care through a… more
- Charter Care Health Partners (Providence, RI)
- Summary: The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management, reviewing intake assessments, verifying ... Experience: Minimum 2-3 years of experience in behavioral health , preferably in intake or utilization review roles. License: RI RN License required.… 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, ... requested for the diagnosis and treatment of members' behavioral health conditions, applying established clinical review criteria, guidelines and medical… more
- CVS Health (Phoenix, AZ)
- …be at the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate, evidence-based care. You'll ... Apply critical thinking and evidence-based clinical criteria specific to Behavioral Health to evaluate inpatient and outpatient...intensive outpatient programs. + At least 1 year of Utilization Management experience in concurrent review or… more
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