• Behavioral Health Utilization

    Banner Health (AZ)
    …leading-edge work, we invite you to bring your experience and skills to BPN. As a Behavioral Health Utilization Care Manager, you will be assigned to various ... in an interdisciplinary team format. PREFERRED QUALIFICATIONS Previous experience with behavioral health utilization management. Additional related education… more
    Banner Health (02/14/25)
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  • Behavioral Health Utilization

    AmeriHealth Caritas (Charleston, SC)
    …www.amerihealthcaritas.com . **Responsibilities:** Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer is ... in OH, LA, NC, and DC.; + Minimum of 2 years of behavioral health and substance use disorder experience.; + Utilization management experience in a managed… more
    AmeriHealth Caritas (01/30/25)
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  • Supervisor, Behavioral Health

    Centene Corporation (Tallahassee, FL)
    …candidates must reside in the State of Florida **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure ... day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with… more
    Centene Corporation (02/15/25)
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  • Utilization Review Clinician…

    Centene Corporation (Tucson, AZ)
    …- State Licensure and/or Compact State Licensure required Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: Arizona ... licensure who reside in Arizona with experience in mental health settings and utilization management / review....regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
    Centene Corporation (02/12/25)
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  • Utilization Management Reviewer…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …license: Registered Nurse, LICSW, LMHC + 3-5 years of clinical experience in Behavioral Health Care settings + Utilization Management experience preferred ... highly dedicated and motivated team of professionals, including medical and behavioral health care managers, dieticians, pharmacist, clinicians, medical… more
    Blue Cross Blue Shield of Massachusetts (02/01/25)
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  • Utilization Review Clinician - ABA

    Centene Corporation (Tucson, AZ)
    …+ Board Certified Behavior Analyst (BCBA) preferred Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: Arizona ... applicants who reside in Arizona with experience in mental health settings and utilization management / review....of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder… more
    Centene Corporation (02/12/25)
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  • Behavioral Health Consultant…

    WellSpan Health (York, PA)
    …to Behavioral Health . Performs a variety of reviews and applies Behavioral Health utilization and consultative services to determine the most ... Behavioral Health Consultant Registered Nurse -...needs. + Assists with the collection and analysis of utilization patterns. + Brings known or suspected problems of… more
    WellSpan Health (02/14/25)
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  • Coord- Behavioral Health Ult Mg

    BronxCare Health System (Bronx, NY)
    Overview The Coordinator- Behavioral Health Utilization Management (BH-UMC) will review and monitor all patientsadmitted into psychiatry or substance abuse ... appropriateness of admission according to nationally recognizedcriteria. Responsibilities The Coordinator- Behavioral Health Utilization Management (BH-UMC)… more
    BronxCare Health System (12/18/24)
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  • RN Utilization Review Behavioral

    AdventHealth (Glendale Heights, IL)
    health care services regarding admissions, case management, discharge planning and utilization review for Behavioral Health **The value you'll bring ... business need), No weekends/holidays **Location:** UChicago Medicine AdventHealth GlenOaks Hospital, Behavioral Health , 701 Winthrop Ave, Glendale Heights, IL… more
    AdventHealth (02/13/25)
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  • Behavioral Health Professional…

    St. Peters Health (Helena, MT)
    …and crises, stress-related physical symptoms and ineffective patterns of healthcare utilization . Behavioral health services include assessment, treatment ... JOB SUMMARY: The Behavioral Health Professional (BHP) is an integral member of the primary care team who works to identify, triage and support patients with … more
    St. Peters Health (11/22/24)
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  • Behavioral Health Professional…

    St. Peters Health (Helena, MT)
    …and crises, stress-related physical symptoms and ineffective patterns of healthcare utilization . Behavioral health services include assessment, treatment ... The Behavioral Health Professional Licensure Candidate Per Diem (BHP) is an integral member of the primary care team who works to identify, triage and support… more
    St. Peters Health (01/21/25)
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  • Utilization Review Specialist,…

    Sutter Health (Berkeley, CA)
    …from accidental, intentional, or inappropriate disclosure. **DEPARTMENT REQUIRED EDUCATION** Department, Behavioral Health : Master's in Social Work or related ... We are so glad you are interested in joining Sutter Health ! **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** Accumulates, interprets, and… more
    Sutter Health (01/22/25)
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  • Utilization Management Clinician…

    CVS Health (Salt Lake City, UT)
    …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus ... to coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health...+ 3+ years of post clinical licensure experience in behavioral health + 3+ years knowledge of… more
    CVS Health (02/11/25)
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  • AVP, Clinical Health Operations…

    CVS Health (New Albany, OH)
    …of multi-disciplinary teams including RN Case Managers, Social Workers, Dietitians, Behavioral Health Specialists, Utilization Management Nurses, Care ... Bring your heart to CVS Health . Every one of us at CVS ...for the respective products. + Analyzing and supporting the utilization and case management performance of all relevant models… more
    CVS Health (02/07/25)
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  • Utilization Management Specialist

    FLACRA (Clifton Springs, NY)
    …(QHP) preferred. + At least one year of experience in the behavioral health field, with knowledge of utilization management practices. + Valid NYS Driver's ... Utilization Management Specialist Finger Lakes Addiction Counseling and...Recovery Agency (FLACRA) is a growing, not-for-profit provider of behavioral health and substance use treatment services… more
    FLACRA (02/11/25)
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  • Behavioral Health Consultant…

    Adelante (Phoenix, AZ)
    health issues and providers education to assist with enhancing primary care utilization of behavioral health interventions + Promote a smooth interface ... Behavioral Health Consultant - Central Phoenix...+ Demonstrate an understanding of facility organizational structure by utilization of appropriate channels of communication. Maintain consistent, timely… more
    Adelante (02/14/25)
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  • Manager II Behavioral Health

    Elevance Health (Las Vegas, NV)
    …manages case consultation and education to customers and internal associates of effective utilization of Behavioral Health services and leads development and ... model (both remote and in office). The **Nevada Crisis Manager II Behavioral Health Services** is responsible for overseeing day-to-day operations of the Nevada… more
    Elevance Health (01/15/25)
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  • Select Health Autism Utilization

    Intermountain Health (Murray, UT)
    …and applications. + Strong clinical skills and experience in behavioral health . + Knowledge of healthcare insurance and utilization review processes. + ... and treatment plans for individuals with autism and other behavioral health conditions to ensure that services...including: Utilization Management, discharge planning, managed care, health promotion, health coaching, behavioral more
    Intermountain Health (02/06/25)
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  • Behavioral Health Clinician (LCSW,…

    Hartford HealthCare (Farmington, CT)
    …medical providers, brief and evidence-based treatments for behavioral and mental health issues, 2. Effective utilization of screening measures and assessment ... pleased to announce a position opening for a part-time (32 hours/week) behavioral health clinician (LCSW, PhD or PsyD) in Hartford HealthCare's Tallwood Men's … more
    Hartford HealthCare (01/15/25)
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  • Mobile Professional Care Manager

    UPMC (Jamestown, NY)
    …or a licensed Registered Nurse. + Minimum of 3 years of experience in behavioral health , clinical care, utilization management, home care, discharge ... across the healthcare continuum, working with physicians, case managers, pharmacy, and behavioral health providers. + Provide expert referrals and connect… more
    UPMC (01/30/25)
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