- Vantage Point Behavioral Health (Fayetteville, AR)
- …nursing experience required.Two or more years' experience in behavioral health preferred.Two or more years' leadership or management experience ... of Nursing$10,000 SIGN ON BONUS for FT DaysVantage Point Behavioral Health in Fayetteville, ARJoin our team...the facility.Assist DON/CNO to provide effective and efficient budget management that ensures the best utilization of… more
- Marion County (Salem, OR)
- …manages the planning, development, support and delivery of efficient and high-quality mental health , behavioral health or health administration services ... provide back-up and support to other programs of the Behavioral Health Division with an eye toward...health service areas; public health administration; health integration practices; supervision and performance management ;… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and substance use disorders. We are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main campus, and our ... a state-of-the-art psychiatric urgent care center and a soon-to-be-built pediatric behavioral health center, outpatient, inpatient, partial hospitalization (day… more
- Centene Corporation (Tallahassee, FL)
- …THE WORK SCHEDULE IS MONDAY-FRIDAY, 8AM - 5PM. THESE ROLES WILL BE SUPPORTING BEHAVIORAL HEALTH UTILIZATION MANAGEMENT FOR MEDICAID. **Position ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
- Humana (Columbus, OH)
- …and help us put health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral ... years of clinical and Utilization Management experience. The Utilization Management Behavioral Health Nurse completes medical record reviews from… more
- Penn Medicine (Philadelphia, PA)
- …work? Summary: + Serves as an adjunct to the Director of Behavioral health in coordinating utilization management and auditing in the administrative ... Management , and various other entities across the PPMC Behavioral Health continuum. Responsibilities: + Audits PPMC...+ 1+ years Experience in working behavioral health claims + Certificate in Business Management … more
- Universal Health Services (Philadelphia, PA)
- …to join our team. Utilization Management (UM) Coordinator Position Fairmount Behavioral Health System is seeking a Utilization Management (UM) ... Responsibilities Fairmount Behavioral Health System is Hosting a...is one of the nation's largest and most respected health care management companies operating through its… more
- Humana (Columbus, OH)
- …community and help us put health first** Humana Healthy Horizons is seeking a Utilization Management Behavioral Health Professional 2 who utilizes ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- CVS Health (Salt Lake City, UT)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health . Utilizes clinical experience and skills in a ... to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and...- Must have active current and unrestricted Independent clinical behavioral health license in the state of… more
- FLACRA (Clifton Springs, NY)
- …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...Counseling and Recovery Agency (FLACRA) is a growing, not-for-profit behavioral health and substance abuse treatment provider… more
- CareOregon (Medford, OR)
- …Knowledge of Behavioral Health managed care practice, including utilization management , population health improvement, guideline development, disease ... crisis systems, criminal justice, and law enforcement, and CareOregon's Behavioral Health team in the areas of network management and optimization, program… more
- WellSense (Manchester, NH)
- …services. The Licensed Behavioral Health Clinician works alongside medical Utilization Management and medical Care Management staff, pharmacists, and ... circumstances. Guaranteed $5,000 Sign on Bonus **Job Summary:** The Licensed Behavioral Health Clinician provides care management services at facilities, in… more
- Humana (Indianapolis, IN)
- …integrate the day-to-day administration and strategic management of physical and behavioral health services, including utilization management (UM), ... focusing on quality management , utilization management , discharge planning and/or home health or...or BH leadership experience + Experience in palliative care, behavioral health , or adult medicine. **Scheduled Weekly… more
- Universal Health Services (Sacramento, CA)
- …mental health , or a related field or RN with prior Utilization Management and Behavioral Health experience. Experience: A minimum of one (1) year ... Department. If you're passionate about working in the behavioral health setting and have the desire...from emotional, behavioral and addiction problems. The Utilization Management Coordinator (MSW, MFT, MA, RN)… more
- Universal Health Services (Kingwood, TX)
- …work, mental health or a Nursing degree preferred. Knowledge of behavioral health systems and Utilization Management required. + Minimum of two (2) ... emergency services. We serve children, adolescents, and adults for psychiatric and behavioral health . The hospital also has services in intensive outpatient… more
- Humana (Columbus, OH)
- …+ Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health . + Detailed working knowledge in ... degree. + Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management...Working knowledge using Power BI + Registered Nurse or Behavioral Health Licensed Professional. + Managed care,… more
- Point32Health (MA)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Behavioral Health Psychologist Reviewer will primarily perform utilization management ... any partner entities at the direction of Behavioral Health Medical Director Team Leader for Utilization Management (UM) and/or the Medical Director of… more
- Sutter Health (Berkeley, CA)
- …systems for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with ... acute hospital admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for...in lieu of the required degree or diploma_ Department, Behavioral Health : Master's in Social Work or… more
- UNC Health Care (Chapel Hill, NC)
- …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... case management referrals. Initiates appropriate social work referrals. 3. Utilization Management Process - Performs utilization management… more
- Universal Health Services (Savannah, GA)
- …and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access ... Responsibilities Coastal Harbor Health is currently seeking a Utilization ...to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory… more
