- Commonwealth Care Alliance (Springfield, MA)
- …patients by impacting acute care utilization , ensuring optimal treatment for behavioral health needs, and closing quality gaps. Additionally, the SBHC ... intensive care management and care delivery. Within the CIC Program, The Senior Clinician, Behavioral Health (SBHC) serves as a leader for behavioral … more
- Stony Brook University (Stony Brook, NY)
- Behavioral Health Specialist- Part Time **Position Summary** At Stony Brook Medicine, our ** Behavioral Health Specialist** : + Orients patients to ... position responsibilities and in accordance with state agency regulations. **Duties of a Behavioral Health Specialist may include the following but are not… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating ... strong, collaborative relationships with behavioral health providers and driving performance improvement...teams to support consistency and quality across BH and Health Home providers. - Participate in case review… more
- Commonwealth Care Alliance (Springfield, MA)
- …team for care delivery and care coordination for the most complex medical and behavioral health patients. The CHW participates in aiding the patients around all ... reducing gaps in preventive care interventions, optimize patients' engagement with primary care, behavioral health , and substance use services. The CHW will play… more
- Commonwealth Care Alliance (Boston, MA)
- …utilization , closing care quality gaps, and optimizing member connection to medical, behavioral health , and substance use disorder resources. CHWs play an ... Team and Primary Care Provider (PCP) or specialty care providers (eg, behavioral health clinician). + CHWs utilize recovery-centered strategies, harm reduction… more
- Commonwealth Care Alliance (Boston, MA)
- …utilization management systems and workflows for populations with complex medical, behavioral health , and/or social needs. + Strong understanding of ... success. + Conduct regular provider meetings (virtual and in-person) to review performance, discuss program updates, and address operational challenges. + Represent… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …of practice **(Required)** :- For nurses, required registration (eg RN, ARNP).- For behavioral health , required licensure (eg LMFT, LICSW, LPC, LMHC)- For ... preauthorization, outpatient and inpatient management, case management, retrospective claim review , and delegated management oversight. + Participate in the… more
- Moses/Weitzman Health System (Middletown, CT)
- …Officer is a key leadership position, along with the Chiefs of Medicine, Dentistry, Behavioral Health and Nursing, and has the opportunity to participate in ... care to newborns through elders. CHCI is part of the Moses/Weitzman Health System, which includes the Weitzman Institute (research, development, training and policy)… more
- Alameda Health System (San Leandro, CA)
- …staff, visitors, and volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of Alameda County, AHS, and ... to acute psychiatric care. 3. Liaison with Alameda County Healthcare Services Agency, Behavioral Healthcare Services, Office of Patients' Rights and other health … more
- Monte Nido (Waltham, MA)
- …regulatory agencies. + Conduct psychosocial assessments, participate in treatment planning, utilization review , and discharge planning. + Conduct individual, ... people to realize their healthy selves. **Family Therapist** **Walden Behavioral Care** **Waltham, MA** Walden Behavioral Care...Assistance Program (EAP) + Flexible Spending Account (FSA) + Health Savings Account (HSA) + Paid time off +… more
- Zeiders Enterprises, Inc (Woodbridge, VA)
- …in Woodbridge, VA, Zeiders has employees supporting clients worldwide in behavioral health , military family resiliency, work-life education programs, and ... and performance metrics analysis and staff feedback. + Technology Utilization : + Serve as subject matter expert (SME) on...+ Bachelor's degree in a social science or related behavioral science field, OR a combination of social science… more
- Commonwealth Care Alliance (Boston, MA)
- …management setting + 2+ years caring for patients/members with complex medical, behavioral health , and social needs; preferred experience in community setting ... panel of patients incorporates the care of individuals with significant medical, behavioral , and social complexities that require intensive care management and care… more
- Battelle Memorial Institute (Columbus, OH)
- …mitigate risks. Works closely with internal teams, including Emergency Management, Health Services, Battelle Aviation, Insider Threat, and Security to ensure ... mitigate risks and vulnerabilities to executives; develop, implement, and periodically review executive protection plans, procedures, and programs to support safety,… more
- Washington Metropolitan Area Transit Authority (Alexandria, VA)
- …and external variables on certain initiatives, strategies, risks, and the financial health of the Authority. Develops and recommends alternatives and options for ... meet office objectives. Establishes project timelines and ensures the effective utilization of resources. Provides periodic status reports. **The essential duties… more
- Katmai (Fort Carson, CO)
- …levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. Adhere to ... specialized tests, and surgery. + Formulate nursing diagnosis based upon health status data by accurately interpreting assessment data and identifying patient… more
- National Renewable Energy Laboratory (Golden, CO)
- …in this position is contingent upon successful completion of: + Medical evaluation and behavioral health screening, as required by 10 CFR Part 1046. + A ... Emergency Notification System (ENS) sheets and SOPs. Surveillance & Technology Utilization : + Operate CCTV systems for situational awareness and incident response… more
- Actalent (Fort Lauderdale, FL)
- Actalent is Hiring a Behavioral Health Utilization Review Nurse Job Description We are seeking a dedicated Utilization Management Nurse (UMN) who ... reports on department activities as assigned. Essential Skills + Utilization management + Behavioral Health ...+ Behavioral Health + Mental Health + Clinical review + Utilization… more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing ... department activities as assigned. Essential Skills + Experience in utilization management, behavioral health , and...mental health . + Proficiency in clinical and utilization review processes. + Current unrestricted Florida… more
- Centene Corporation (Atlanta, GA)
- …Time Zone hours.** **The ideal candidate will have experience in behavioral health utilization management.** **Education/Experience:** Requires Graduate ... accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH)...health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …Program Manager (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=1450MP&R1=&R3=) to join their team! The Utilization Review Behavioral ... Behavioral Health Program Manager Office/On-Site Recruitment...Manager (UR BHPM) is responsible for oversight of all Utilization Review functions and staff throughout CT… more
