- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... action. + Minimum one, (1) year of experience in Behavioral Health Nursing (inpatient outpatient, psych, substance...Nursing experience + Previous experience in utilization management with ASAM knowledge + Health Plan… more
- Elevance Health (Indianapolis, IN)
- …role in a managed care environment and possess strong utilization management experience. + ** Behavioral Health & Chemical Dependency:** Substantial ... Behavioral Health offers superior clinical mental health and substance use disorder management , a...GA, Woodland Hills, CA. **Summary** The Behavioral Health Chief Medical Officer oversees Utilization Review,… more
- Humana (Indianapolis, IN)
- …Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health ; MED-Deeming accreditation standards ... degree. + Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management...knowledge is a plus. + Registered Nurse or Behavioral Health Licensed Professional. + Managed care,… more
- Humana (Indianapolis, IN)
- …part of our caring community and help us put health first** The Senior Utilization Management Behavioral Health Professional utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Senior Utilization Management Behavioral Health Professional work… more
- Evolent (Indianapolis, IN)
- …the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, … more
- Community Health Network (Westfield, IN)
- …and facilitates trainings on specific bio-psychosocial approaches for the team. Assists with management of urgent behavioral health needs with medical ... Behavioral Health Consultant- LCSW, LMHC, or...required. - 2 + years of experience providing mental health treatment required. - Utilization of conventional… more
- Elevance Health (Indianapolis, IN)
- ** Behavioral Health Medical Director- Psychiatrist** Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). ... 50 miles of an Elevance Health Pulse Point location. The ** Behavioral Health Medical Director- Psychiatrist** is responsible for completing medical necessity… more
- Ascension Health (Carmel, IN)
- …to hire date or job transfer date. + Social Worker credentialed from the Indiana Behavioral Health and Human Services Licensing Board obtained prior to hire date ... case management experience. **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans… more
- Highmark Health (Indianapolis, IN)
- …of clinical, case/ utilization management and/or disease/condition management experience, or provider operations and/or health insurance experience ... health status/severity and clinical needs; and assesses health management needs of the assigned member...clinical care is being provided. **Preferred** + Certification in utilization management or a related field +… more
- Liberty Healthcare Corporation (Indianapolis, IN)
- Behavioral health professionals are encouraged to consider an outstanding career opportunity with Liberty Behavioral Health Corporation. A full-time ... is available with Liberty and the Indiana Sex Offender Management and Monitoring Program. The mission of the Indiana...to help a significant number of people improve their behavioral health , prevent sexual abuse and victimization,… more
- Elevance Health (Wilkinson, IN)
- … under the CFSP Care Management model, including coordination across physical health , behavioral health , I/DD, LTSS, pharmacy, and unmet health ... have access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy, Intellectual/Developmental Disabilities (I/DD)… more
- Elevance Health (Greenfield, IN)
- …member's circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable ... associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation… more
- Highmark Health (Indianapolis, IN)
- …(Claims, Dental Benefits, Customer Service, Membership & Billing), Provider Data Management , Underwriting, and Professional Relations. **This role will support the ... including gathering data from multiple sources related to Benefit/Claim Utilization , Enrollment, Networks ( utilization , disruption, geo-access) and making… more
- Community Health Network (Fishers, IN)
- Social Worker- Lic MSW- ProCare at Home- Fishers Job Ref 2501752 Category Behavioral Health Job Family Social Worker Department Community ProCare at Home ... Care Services policies and procedures. - Participates in Aggressive Behavior Management appropriate to the population served. See Behavioral Care Services… more
- Elevance Health (Greenfield, IN)
- …identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... engagement. The **RN Case Manager** is responsible for overall management of member's case within the scope of licensure;...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a… more
- Community Health Network (Indianapolis, IN)
- Social Worker Lic MSW- HATS Geriatrics- East/South Job Ref 2500953 Category Behavioral Health Job Family Social Worker Department Touchpoint HATS Schedule ... Care Services policies and procedures. - Participates in Aggressive Behavior Management appropriate to the population served. See Behavioral Care Services… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …when appropriate. Based on the patient's goals, provides patient and family health education, to include self- management , prevention, and wellness. Interacts and ... the patient-driven holistic care plan for life. Responsibilities Total-Rewards-of-an-Allied- Health -VA-Career-Brochure.pdf Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf Duties include… more
- Elevance Health (Indianapolis, IN)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... preferred. + Extensive orthopedic surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. For… more
- Highmark Health (Indianapolis, IN)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/ Management or Public Health **EXPERIENCE** **Required** + 5 years… more
- Elevance Health (Indianapolis, IN)
- …identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... care team, to ensure cost effective and efficient utilization of health benefits. + Decision making...management case load, highly preferred. + MA/MS in Health /Nursing preferred. + Travels to worksite and other locations… more