- Humana (Richmond, VA)
- **Become 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 2 work… more
- Humana (Frankfort, KY)
- **Become 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 2 work… more
- CVS Health (Phoenix, AZ)
- …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- Centene Corporation (Phoenix, AZ)
- …**Position Purpose:** Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical ... + Evaluates member's care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and… more
- Elevance Health (Winston Salem, NC)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health Care Manager II (ABA)** **Sign-on bonus:...supervision. Previous experience in case management / utilization management with a broad… more
- Elevance Health (NC)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health Care Manager I - (Day Shift)**...or a NC License_** + Previous experience in case management / utilization management with a broad… more
- Elevance Health (Latham, NY)
- …abuse cases preferred. **Preferred Skills, Capabilities and Experiences:** + Experience in behavioral health utilization management is highly preferred. + ... are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and...there is licensed staff supervision. Previous experience in case management / utilization management with a broad… more
- Centene Corporation (Bedford, NH)
- …+ Experience with managed care, case management , utilization management , or quality improvement required + For Applied Behavior Analysis Services ... with providers and healthcare teams to review care services related to Applied Behavioral Analysis Services preferred **Licenses/Certifications:** + LCSW -… more
- Elevance Health (Las Vegas, NV)
- … behavioral health field, and minimum of 3 years of experience with applied behavioral analysis and autism services; or any combination of education and ... are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only. +...requirement for this position. + Previous experience in case management / utilization management with a broad… more
- Sevita (Lowell, MA)
- **Mentor South Bay** , provides Early Intervention, Applied Behavioral Analysis (ABA), Behavioral Health and Mental Health Outpatient services across ... for performance evaluations, orientation, scheduling, and training + Ensures consistent utilization of applied behavior analysis techniques and promotes a… more
- Elevance Health (Indianapolis, IN)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health Care Manager II - Autism** **Location:**...supervision. + Previous experience in case management / utilization management with a broad… more
- Elevance Health (Norfolk, VA)
- …Skills, Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) ... ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required… more
- Elevance Health (Morristown, NJ)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... supervision.) **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of… more
- Elevance Health (Los Angeles, CA)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health - Care Manager II** **Location:** _Virtual:_...supervision. + Previous experience in case management / utilization management with a broad… more
- Elevance Health (Atlanta, GA)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... an accommodation is granted as required by law._ The Behavioral Health Care Manager I is responsible for managing...supervision. + Previous experience in case management / utilization management with a broad… more
- The County of Los Angeles (Los Angeles, CA)
- …predictive and prescriptive analytics, to support data-driven program design and management ; and produces dashboards, reports, and other advanced data visualization ... and prevention services including but not limited to forecasting utilization and cost, cost/finance analyses, cost-effectiveness analyses, and predictive/prescriptive… more
- Sevita (MN)
- …strategy to increase census, maintain occupancy, improve daily attendance, and maximize utilization . **Financial Management ** 1. Management : Responsible for ... to $30 million in annual revenue. + Key Responsibilities: + Operational Management : Oversees service delivery and ensures alignment with state-level goals. +… more
- Commonwealth of Pennsylvania (PA)
- Drug & Alcohol Case Management Specialist (Local Government) - Delaware County D&A Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5144215) ... Apply Drug & Alcohol Case Management Specialist (Local Government) - Delaware County D&A Salary...NOTE: THIS IS A REPOSTING OF CS-2025-36830-L0686. IF YOU APPLIED UNDER THE PREVIOUS POSTING WHICH WAS OPEN FROM… more
- CVS Health (Richmond, VA)
- …Aetna. **Expectations and Responsibilities:** * Serve as the principal utilization management reviewer for cases related to Applied Behavior Analysis (ABA). ... medical directors. * Attend and actively participate in clinical meetings with care management and utilization management teams, offering subject matter… more
- Molina Healthcare (Louisville, KY)
- …with multidisciplinary teams to promote Molina care model. * Adheres to utilization management (UM) policies and procedures. * May work collaboratively ... with appropriate departments to provide applied behavior analysis (ABA)/ behavioral health therapy (BHT)...medical directors, and senior medical directors to ensure proper management of the BHT benefit. Required Qualifications * At… more