- Merck & Co. (North Wales, PA)
- …interacting with multiple channels to access drug, medical and practice management information as needed, real-time. To enhance our Company Oncology's Go-To-Market ... across our promotional mix. In this role, the Customer Engagement Manager will define non-personal promotion HCP customer channel and engagement strategies… more
- Centene Corporation (Oklahoma City, OK)
- … issues related to member care, provider interactions, and facilitates operations within utilization management . + Manages behavioral health (BH) ... and ensures compliance with applicable guidelines + Reviews and analyzes BH utilization management activities, over/under utilization , operations, costs, and… 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
- Banner Health (AZ)
- …in an interdisciplinary team format. PREFERRED QUALIFICATIONS Previous experience with behavioral health utilization management . Additional related education ... by offering remote and hybrid work settings. As a Behavioral Health Utilization Care Manager ,...internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts… more
- CVS Health (Salt Lake City, UT)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... internal and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + 3+ years post… more
- AmeriHealth Caritas (Newark, DE)
- ** Utilization Management Plan Oversight Manager ** Location: Newark, DE Primary Job Function: Medical Management ID**: 34207 **Job Brief** Qualified ... for UM DE, and serves as SME for clinical components DE Medicaid Utilization Management Program. Works in close collaboration with all departments to… 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
- Prime Healthcare (Montclair, CA)
- …credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/162306/case- management - manager utilization - management ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of the Case Management Department is… 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
- 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 (Anaheim, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157767/case- manager utilization - management ... and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …safe discharge coverage for all hospital units. + Participates in utilization management initiatives/opportunities for improvement through departmental committee ... in the State of Florida. + 3 years minimum experience in discharge planning, utilization management , or case management . + Basic proficiency in Microsoft… more
- Acacia Network (Bronx, NY)
- Acacia Network Inc. Utilization Manager Bronx, : 5/15/2024 Job Description Job ID#: 3896 Job Category: Acacia Network Inc. Position Type: Full Time Details: The ... Degree preferred) + Minimum of 2 years of case management and/or utilization review experience + Strong...the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are… 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
- Centene Corporation (Olympia, WA)
- …of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization , case ... Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Assess members to… more
- Centene Corporation (Tallahassee, FL)
- …of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization , case ... Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Assess members to… 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
- 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
- Colorado State University (Fort Collins, CO)
- …Position Summary The Behavioral Health and Care Coordination ( BHCC ) Manager collaborates with the Medical Directors and the CSU Health Network staff to provide ... behavioral health interventions to CSU students. The BHCC Manager supervises the Behavioral Health Care Coordinators....care meetings as needed + Tracks data and monitors utilization and impact of behavioral health and… more
- Centene Corporation (Austin, TX)
- …Master's degree in Behavioral Health. 3+ years of case and/or utilization management experience. Experience in psychiatric health care settings, child ... of a specialized or technical field such as clinical nursing, case and/or utilization management involving knowledge plus the application of basic theory.… more
