- Elevance Health (FL)
- **JR133557 Manager II Behavioral Health Services ( Utilization Management for Behavior Analysis Services)** Responsible for Behavioral Health ... appropriateness of care for inpatient/outpatient BH services; ensures appropriate utilization of BH services through level of care determination,...UM: MS in social work, counseling, psychology or related behavioral health field or a degree in… 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 ... supports the Mission of Pipeline Health through the provision of distinctive and compassionate care...care to our patients. This position is responsible for utilization review, assessment of discharge planning needs and coordination… more
- Helio Health Inc. (Syracuse, NY)
- …mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. To support the mission ... of Helio Health , theUtilization Case Manager will enhance the...and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a… more
- LifePoint Health (Danville, VA)
- …delivery network committed to/making communities healthier/(R)with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your ... *Registered Nurse, RN - Utilization Review Case Manager * Job Type:Full...Comprehensive medical, dental, and vision plans, plus flexible-spending and health - savings accounts . Competitive paid time off and… more
- CVS Health (Oklahoma City, OK)
- …Using holistic approach consults with manager , Medical Directors and/or other physical/ behavioral health support staff and providers to overcome barriers to ... setting such as ambulatory care or outpatient clinic/facility) + Must complete the Behavioral Health Case Manager certification training provided through the… more
- AmeriHealth Caritas (Dublin, OH)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... ** Utilization Management Plan Oversight Manager (Ohio...now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate… more
- Covenant Health Inc. (Louisville, TN)
- …appropriate committee(s). + Performs Quality Improvement functions within the Peninsula Behavioral Health system. + Attends workshops, seminars, and in-services ... and evaluation of program policies and criteria within Peninsula Behavioral Health . + Assists in the formulation... Health . + Assists in the formulation of health service utilization and cost forecasts with… more
- Banner Health (Scottsdale, AZ)
- …Shift:** Day **Job Category:** Clinical Care For more than 30 years, Banner Behavioral Health Hospital has provided a nationally recognized, behavioral ... program for children, teens and adults faced with psychiatric, behavioral health , or chemical dependency challenges. We...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
- Elevance Health (Overland Park, KS)
- **JR129987 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...Skills, Capabilities, and Experiences:** + Previous experience in case management/ utilization management with a broad range of experience with… more
- Lancaster General Health (Lancaster, PA)
- …call. Position will be based out of hospital. **Job Description** **POSITION SUMMARY:** The Behavioral Health Care Manager is a master's level behavioral ... for patients with comorbid medical, mental health and/or substance use disorders. The Behavioral Health Care Manager leverages their behavioral … more
- Hartford HealthCare (Torrington, CT)
- …* Master's degree in Social Work * Active LCSW required * Two years with behavioral health utilization review As a Hartford HealthCare entity, Charlotte ... for care; and follow up on insurance denials. Requires in-depth knowledge of behavioral health services in order to accurately articulate and advocate for… more
- Elevance Health (Cerritos, CA)
- The ** Manager II Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health ... + MS in social work, counseling, psychology or related behavioral health field or a degree in...and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience, which includes a minimum of 2… more
- Banner Health (Glendale, AZ)
- …an interdisciplinary team format. Employees working at BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona ... of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through...the duration of their employment. Employees working at Banner Behavioral Health Hospital or BTMC Behavioral… more
- Corewell Health (Grand Rapids, MI)
- …Clinical Manager provides clinical and operational management over all behavioral health programming and services delivered to the organization's membership ... Functions + Provides operational management over the Behavioral Health Outpatient Prior Authorization program, Utilization Management, Outpatient Case… more
- CVS Health (Trenton, NJ)
- …critical thinking skills in order to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager will be ... responsible for documenting accurately and timely in the electronic health record. This position requires the care manager...in the state of New Jersey + 2+ years Behavioral Health experience/expertise required + Must be… more
- CVS Health (Oklahoma City, OK)
- …setting such as ambulatory care or outpatient clinic/facility) + Must complete the Behavioral Health Case Manager certification training provided through the ... and discharge planning experience **Education** + Minimum of a master's degree in behavioral health field (eg, counseling, marriage & family therapy, or social… more
- Acacia Network (Bronx, NY)
- Acacia Network Inc. Utilization Manager Bronx, : 5/30/2024 Job Description Job ID#: 3904 Job Category: Acacia Network Inc. Position Type: Full Time Details: ... nation, offers the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are visionary leaders… more
- Elevance Health (Durham, NC)
- A proud member of the Elevance Health family of companies, **Carelon Behavioral Health ** , offers superior clinical mental health and substance use ... analytics to improve the delivery of care. **BH Care Manager I (Applied Behavioral Analysis) - North...review and providing clinical crisis support of the 24/7/365 Behavioral Health Crisis Line. **How you will… more
- CVS Health (Phoenix, AZ)
- …we do. The Care Manager is responsible for working with the assigned behavioral health direct care clinic and addressing high utilizing members for gaps in ... health plan, serving Arizonans since 1985. We provide access to physical and behavioral health care services, to people who are eligible for Medicaid. Our… more
- Munson Healthcare (Traverse City, MI)
- …direct clinical services to patients within Munson Medical Center Inpatient Behavioral Health services. Clinical services include assessment, diagnosis, ... Patient Care Manager IP BH Job Code: 1047 Job Summary...Certification, Licensure, Registration Comments Minimum Michigan License to provide behavioral health counseling May be a LMSW,… more