- Marion County (Salem, OR)
- …& Human Services is looking for an adaptable, collaborative, and experienced Program Manager who will assist the department in achieving its mission: To create a ... planning, development, support and delivery of efficient and high-quality mental health, behavioral health or health administration services with a broad scope of… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - ... For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible… more
- Community Based Care of Brevard, Inc. (Osceola County, FL)
- …Preparation - Essential Function : Collect, analyze, and summarize data within the Utilization Management System to prepare reports for users, and other ... Salary: $67,000/year Position Summary: The UM Program Manager provides oversight and management of...application for daily entry of case activity and the utilization management of service authorizations. Educational and… more
- Immigration and Customs Enforcement (IN)
- … Utilization Manager works under the supervision of the IHSC Utilization Management Program Administrator. The incumbent plans and organizes his/her own ... DUTIES AND RESPONSIBILITIES: Serves in the capacity of Regional Utilization Manager and subject matter expert in...also works jointly with IHSC stakeholders: pharmacy; dental; the Behavioral Health Unit; the Medical Case Management … more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- Universal Health Services (Gulfport, MS)
- …visit us at www.gulfportbehavioral.com/ Position Summary: Join a team where the Utilization Review Manager assumes responsibility for the functioning of the ... Responsibilities Gulfport Behavioral Health System (a UHS facility): Gulfport ...1 year of management experience with case management and the utilization review process including… more
- Prime Healthcare (National City, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/165000/case- manager utilization - management ... emergency services. In addition to our healthcare services, we offer comprehensive behavioral health services on the hospital campus and Bayview campus in Chula… more
- Elevance Health (Washington, DC)
- …degrees of medical complexity and acuity. Participates in case and/or utilization management execution/decision making for managed member populations. Primary ... II HCMS is responsible for managing a team of physical and/or behavioral health practitioners in the development, implementation, and coordination of a comprehensive… more
- Prime Healthcare (National City, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/165006/case- manager -rn pvh- utilization - management ... emergency services. In addition to our healthcare services, we offer comprehensive behavioral health services on the hospital campus and Bayview campus in Chula… more
- Ventura County (Ventura, CA)
- …satisfactory performance, and in accordance with the business needs of the department. Behavioral Health Manager I/II are management classifications and are ... Behavioral Health Quality Assurance Manager Print...management practices; grievances, appeals and notices of actions; behavioral health clinical policies and procedures; utilization … more
- Acacia Network (Bronx, NY)
- Acacia Network Inc. Utilization Manager Bronx, : 5/30/2024 Job Description Job ID#: 3904 Job Category: Acacia Network Inc. Position Type: Full Time Details: ... the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are...Degree preferred) + Minimum of 2 years of case management and/or utilization review experience + Strong… more
- Highmark Health (Pittsburgh, PA)
- …years with utilization review/ management + 1 year as a supervisor or manager of Utilization /Case Management with a Managed Care Organization + 1 year ... customers of Helion's technology platform(s). **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/rn-case- manager utilization ... services in specialties including Cardiovascular, Surgical, Orthopedics, Maternal-Child Health, Behavioral Health and Emergency and Trauma Care. In addition, the… more
- CareOregon (Medford, OR)
- …+ Knowledge of Behavioral Health managed care practice, including utilization management , population health improvement, guideline development, disease ... Job Title CCO Behavioral Health Program Manager - Adult...Behavioral Health team in the areas of network management and optimization, program development, and delivery system change.… more
- FLACRA (Clifton Springs, NY)
- …of work experience in the behavioral health field with knowledge of utilization management practices. Valid NYS Drivers' License. Get job alerts by email. ... PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area...Netsmart to successfully transition the Chart to a Care Manager once enrolled. 5. Document all efforts of enrollment… more
- Banner Health (Scottsdale, AZ)
- …administrative support for discharge planning; nursing and medical providers as well as utilization management and outside stakeholders such as SMI teams and out ... patients' lives easier. Apply today. Bring your passion for Behavioral Health to Banner Health! **Banner Behavioral ...patient's needs. We are in need of a Case Manager with at least one year of experience. The… more
- Ventura County (Ventura, CA)
- Behavioral Health Equity Services Manager - Bilingual Required Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4359714) Apply Behavioral ... Continuous + Description + Benefits + Questions Description Under direction of the Behavioral Health Director, the Equity Services Manager (ESM) promotes and… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- …clinical care and/or behavioral health network provider. + Work with utilization management and transition of care departments to coordinate care. + ... ** Behavioral Health Care Manager ** Location: Palm...most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- CVS Health (Springfield, IL)
- …Bilingual Spanish strongly preferred + Crisis Intervention skills preferred. + Managed care/ utilization management experience preferred. Case Management and ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
