- Humana (Austin, TX)
- …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… more
- Centene Corporation (Austin, TX)
- …appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization ... + Direct experience with Utilization Review or Utilization Management related to Behavioral Health case is preferred + Clinical knowledge and ability… more
- Centene Corporation (Austin, TX)
- …is required. + Direct experience with Utilization Review or Utilization Management related to Behavioral Health case is preferred + Clinical ... inpatient hospital experience is preferred + Experience in Behavioral Health Case Management or Utilization Management in Managed Care Organizations,… more
- Molina Healthcare (San Antonio, TX)
- …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
- Centene Corporation (Austin, TX)
- …for our 28 million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified, national organization offering ... year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time… more
- Molina Healthcare (San Antonio, TX)
- …while contributing to enterprise-wide strategies for integrated behavioral health programs, utilization management standardization, and cost-effective ... psychiatric leadership and clinical expertise for utilization management , case management , and integrated behavioral health /chemical dependency… more
- Molina Healthcare (TX)
- …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
- Molina Healthcare (Dallas, TX)
- …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
- Elevance Health (Grand Prairie, TX)
- …abuse cases preferred. **Preferred Skills, Capabilities and Experiences:** + Experience in behavioral health utilization management is highly ... Behavioral Health Care Manager I- ... Behavioral Health Care Manager I- Behavioral ...there is licensed staff supervision. Previous experience in case management / utilization management with a broad… 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
- CVS Health (Austin, TX)
- …applicants whose only acute care experience is in behavioral health ) **Preferred Qualifications** + 1+ years' experience Utilization Review experience ... At CVS Health , we're building a world of health...Job Description Primary Job Duties & Responsibilities Drives effective utilization management practices by ensuring appropriate and… more
- CVS Health (Austin, TX)
- …applicants whose only acute care experience is in behavioral health ) **Preferred Qualifications** + 1+ years' experience Utilization Review experience ... At CVS Health , we're building a world of health...with heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant role is… more
- Evolent (Austin, TX)
- …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
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …team at Houston Behavioral Healthcare Hospital strives to be the leaders in Behavioral Health by delivering quality services to those entrusted in our care. ... Houston Behavioral Healthcare Hospital (HBHH) is unique in so...Healthcare Hospital (HBHH) currently has an opening for Part-time Utilization Management Coordinator. The Utilization … more
- Highmark Health (Austin, TX)
- …coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by ... prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- … Health Institute is a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator. This position ... insurance coverage and billing practices preferred. Previous experience in utilization review or case management desirable. +...Luck & we hope to meet you soon! Georgetown Behavioral Health Institute is an equal opportunity… more
- CVS Health (Austin, TX)
- …issues. * Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the ... care issues through established channels * Ability to speak to medical and behavioral health professionals to influence appropriate member care. * Utilizes… more
- Elevance Health (Grand Prairie, TX)
- ** Behavioral Health Care Manager I (3rd Shift - After Hours)** **Virtual:** This role enables associates to work virtually full-time, except for required ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad… more
- Elevance Health (Grand Prairie, TX)
- ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Monday - Friday. Half day Saturday rotation, once a month.** The ** Behavioral Health Medical Director-Psychiatrist Appeals** is responsible for the… more
- Immigration and Customs Enforcement (Houston, TX)
- …improvement activities/risk identification and management directly related to mental health . Coordinates alongside HQ behavioral health unit for ... Summary The Supervisory Behavioral Health Provider oversees clinical performance,...hunger strike, abuse, neglect and trauma, and integrative case management . Establishes and maintains liaison with other health… more