- Altru Health (East Grand Forks, MN)
- …Date | HR Primary Sources Licensed Professional Clinical Counselor (LPCC) | Minnesota Board of Behavioral Health and Therapy | Within 12 Months of Start Date | ... in restructuring of current and new programs. Performs utilization review when required. Collaborates with Primary Care ...LCSW or LPCC Position will be credentialed through Altru Health System's credentialing process Altru Physical Demand s :… more
- Molina Healthcare (TX)
- … Review RN in the state of Texas. You will be hired to join the behavioral health inpatient review team doing initial and concurrent reviews, but you will ... and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , for members with high need potential.… more
- Molina Healthcare (Lincoln, NE)
- …Previous experience in BEHAVIORAL HEALTH , Psychiatric Hospital Acute Care , Concurrent Review /Utilization Review / Utilization Management and ... and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , for members with high need potential.… more
- Insight Global (Columbia, MD)
- …appropriate levels of care , and administering public behavioral health benefits. Additionally, this person will review written requests for ... Job Description An employer is looking for a Behavioral Health Care Advocate...behavioral health providing appropriate level of care review and determination - Proficiency with… more
- University of Colorado (Aurora, CO)
- …+ Provide regularly scheduled (usually weekly) caseload consultation to Behavioral Health Care Managers. Case review consultations focus primarily on ... and suggestions are based on consultation with the patient's Behavioral Health Care Manager and a review of information available in registry. I… more
- Molina Healthcare (ID)
- …degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** ... OR a clinical license in good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able to travel within… more
- Molina Healthcare (San Bernardino, CA)
- …degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** ... OR a clinical license in good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able to travel within… more
- UNC Health Care (Hendersonville, NC)
- …insurance, retirement savings, paid time off, and more. Come be happy with Pardee! Summary: The Behavioral Health Care Manager (BHCM) is a core member of the ... the patient's care team to coordinate the behavioral health needs of the patients. *...treatments as clinically indicated. * Participate in weekly caseload review meetings with consultant psychiatrist and communicate the resulting… more
- Sutter Health (Berkeley, CA)
- …from accidental, intentional, or inappropriate disclosure. **DEPARTMENT REQUIRED EDUCATION** Department, Behavioral Health : Master's in Social Work or related ... clinical nursing staff and others to ensure appropriate utilization and quality care through utilization review , tracking and evaluation and objectively compare… more
- Premier Health (Troy, OH)
- Position: ASSOCIATE NURSE MGR/ UTILIZATION REVIEW RN Dept: Inpatient Behavioral Health Shift: Full time 72 hours/pp: 7am-7:30pm Facility: Upper Valley ... Provides concurrent and retrospective reviews of patients admitted to the behavioral health inpatient unit. Completes pre-certification and re-certification of… more
- CVS Health (Norman, OK)
- …channels. + Ability to speak to medical and behavioral health professionals to influence appropriate member care . + Utilizes influencing/motivational ... care or outpatient clinic/facility) + Must complete the Behavioral Health Case Manager certification training provided...+ 1+ year(s) of crisis intervention experience + Managed care /utilization review experience + Case management and… more
- Pipeline Health System, LLC (Toast, NC)
- Job Title: Utilization Review Registered Nurse- Behavioral Health Unit/FT/Days Job Summary: This Utilization Review (UR) Registered Nurse (RN) position ... to our patients. This position is responsible for utilization review , assessment of discharge planning needs and coordination of...with the team members who are recognized leaders within health care . Education: + Bachelor's degree in… more
- Spokane County (Spokane, WA)
- …Service Organization Integrated Care and the Behavioral Health Administrative Services Organization Utilization Review Integrated Care . ... Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator: + Performs utilization... review , or concurrent review of behavioral health inpatient and outpatient care… more
- Centene Corporation (Omaha, NE)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and...with providers and healthcare teams to review care services related to mental health and… more
- Elevance Health (FL)
- …initiatives. **Minimum Requirements:** + Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 ... required (Florida). + Prior utilization management experience preferred. + Prior managed care experience preferred. + Experience with Applied Behavioral Analysis… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- … health needs, and identification of enrollees, who may benefit from Sunshine Health behavioral health care management services. Multi-Disciplinary ... Team (MDT) meetings which are held in order to review behavioral health needs for...will communicate with the CBCIH Regional Coordinator and CBCIH Behavioral Health Care Consultant as… more
- AmeriHealth Caritas (Charleston, SC)
- ** Behavioral Health Care Manager SC**...members who have been enrolled in the program. The Care Manager will screen and facilitate the review ... Care Management team in identifying, reviewing and assessing members' need for behavioral health Care management. The Care Manager will assist in… more
- Amity Foundation (Moreno Valley, CA)
- …individuals with a desire to teach, learn and join our community as a Behavioral Health Care Manager. This groundbreaking opportunity will allow you ... Remembrance, Resolution, Reconciliation, Restoration, Renewal About the Position: The Behavioral Health Care Manager (ECM)...Aids RN Care Manager in the overall review of student Comprehensive Health Needs Assessment… more
- Elevance Health (NJ)
- …be a NJ licensed BCBA and will be responsible for reviewing autism utilization cases. The ** Behavioral Health Care Manager I - New Jersey - Autism/BCBA** is ... or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review ....Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- SSM Health (St. Louis, MO)
- …MO-SSM Health Monteleone Hall **Worker Type:** PRN1 **Job Highlights:** PRN-12hr shifts New Behavioral Health Urgent Care + Department: Urgent Care + ... St Louis, MO 63110. **Job Summary:** Provides direct patient care to behavioral health patients...of changes in condition. + Participates in the development, review and evaluation of multidisciplinary treatment plans as per… more
