- Magellan Health Services (Honolulu, HI)
- …influence quality of care . General Job Information Title HMSA Care Manager - BH , UM Reviewer - Remote Hawaii Grade 24 Work Experience - Required ... + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. Proposes… more
- Elevance Health (FL)
- …use of health benefits and community resources. + Will serve as a resource to other BH Care Managers. + Assists with more complex cases and may participate in ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to...with complex psychiatric/substance abuse cases required. + Prior managed care experience required. + For URAC accredited areas, the… more
- Elevance Health (Hermitage, PA)
- ** Manager II Behavioral Health Services** **Location:** This position...member care . + Additional responsibilities for integrated BH UM and BH CM ... Services** will be responsible for Behavioral Health Utilization Management ( BH UM ), or Behavioral Health Case Management...care initiatives. + May attend meetings to review UM and/or CM process and discusses facility issues. +… more
- VNS Health (Manhattan, NY)
- …and medical director meetings as stipulated by the State BH contract manager . Serves as the principal behavioral health/social care expert and liaison for ... behavioral health sections of the Quality Management (QM)/Utilization Management ( UM ) Plan. Oversees the administration of all BH...organization (BHO), with minimum of 4 years in a BH utilization and care management Director or… more
- Elevance Health (Cerritos, CA)
- …Manager II Behavioral Health Services** is responsible for Behavioral Health Utilization Management ( BH UM ), or Behavioral Health Case Management ( BH CM) ... non-clinical support staff responsible to ensure appropriate linkage to care for outpatient BH services. + Leads...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (FL)
- The **Behavioral Health Care Manager ** **II** is responsible for...resources. + Will serve as a resource to other BH Care Managers. + Assists with more ... necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as… more