- Humana (Frankfort, KY)
- …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
- Corewell Health (Grand Rapids, MI)
- …related experience in acute care, multiple clinical settings or behavioral health with utilization management , discharge planning designing patient ... and concurrent requests for admissions and continued stay. Educates medical staff/other health care professionals regarding utilization management and… 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
- Elevance Health (Atlanta, GA)
- …and improvement work; LEAN or Continuous Quality Improvement skills and/or behavioral health , risk management , and/or utilization review in a managed ... **JR110688 Behavioral Health Clinical Quality Audit Analyst...to join our team in Georgia within the Quality Management (QM) Department. The Quality Assessor will be responsible… 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 (Sandy, UT)
- … utilization /benefit management function. Required Qualifications - 3+ years of behavioral health clinical experience in a hospital setting - Must have ... clinically appropriate treatment, evidence-based care, and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus.… 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
- CVS Health (Sacramento, CA)
- …Monday-Friday standard business hours. No nights, weekends or holidays. As a UM Clinician Behavioral Health you will: - Utilize clinical experience and skills in ... with clients with an Autism Diagnosis - Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in… 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
- 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
- Centene Corporation (Salem, OR)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... licensure as outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - ... managed health care process, medical terminology, experience in case management , discharge planning, and/or utilization review preferred. + Familiarity with… more
- Universal Health Services (Dover, DE)
- … Behavioral Health system is seeking qualified candidates for our Utilization Management Coordinator - Full-Time position. In this role, you will ... Responsibilities Dover Behavioral Health System is a 104-bed,...experience Preferred: + One (1) year experience as a Utilization Management Coordinator at a long-term care… more