- CenterWell (Boston, MA)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** The Medical Director, Primary Care relies on...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
- AmeriHealth Caritas (LA)
- **Role Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical ... requests for additional information and/or request clarification. The BH UM Reviewer will use his/her professional judgment...in Social Work + Minimum of 2 years of behavioral health experience and substance use disorder… more
- Elevance Health (OH)
- ** Behavioral Health Care Manager I - (Day...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in ... + Monday-Friday 9am-6pm EST + Monday-Friday 11am-8pm EST The ** Behavioral Health Care Manager I - (Day...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- Elevance Health (NC)
- ** Behavioral Health Care Manager I - North...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in ... PM, and Sunday 8:00 AM - 8:00 PM. The ** Behavioral Health Care Manager I - North...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- Elevance Health (Indianapolis, IN)
- ** Behavioral Health Care Manager I** _*Ideal...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- Elevance Health (FL)
- **JR169828 Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...by applicable state laws) LMFT to practice as a health professional within the scope of licensure… more
- Highmark Health (Harrisburg, PA)
- …+ High School Diploma/GED with RN license or Master's Degree if licensed behavioral health professional **Substitutions** + None **Preferred** + Bachelor's ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical, Case Management and/or Condition Management + Experience in a… more
- CVS Health (Indianapolis, IN)
- …experience working with clients with an Autism Diagnosis + Valid unrestricted independent professional behavioral health clinical license to practice per ... **EST or CST residents preferred due to region of members.** **As a UM Clinician Behavioral Health you will:** + Utilize clinical experience and skills in… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Business Analyst - Behavioral Health Location: Hybrid | Eagan, Minnesota Career Area: Information ... of MN is hiring a Business Analyst on our Behavioral Health (BH) team in Eagan, MN....processes, supporting process improvements and training for the BH UM team, and working independently and cross-functionally to deliver… more
- Excellus BlueCross BlueShield (Rochester, NY)
- … health care services. Examples may include: Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian and Respiratory Therapist + ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- Saint Francis Health System (Tulsa, OK)
- …the level of care utilization. Assures compliance with Managed Care Behavioral Health standards in the area of UM procedures and documentation to permit ... therefrom or Master's degree in Social Work, Counseling or related behavioral health field. Licensure, Registration and/or Certification: Valid multi-state… more
- CVS Health (Tallahassee, FL)
- …other clinical services that are evidence-based. * Work collaboratively with the Behavioral Health , Pharmacy, Member Outreach, Care Management, National Quality ... Utilization Management, Compliance, and other departments to integrate social, behavioral , and physical health and improve clinical...or other presentations (written or oral) that support the health plan in a professional and effective… more
- The Cigna Group (Orlando, FL)
- …the Disney Account Team, Health Coaches, Case Managers, Onsite EAP providers, EACs, Behavioral UM and CM teams to align on cases and hand off appropriately ... Attend all required trainings. + Comply with all Evernorth Behavioral Health policies and Standard Operating Procedures....Health First Aid + CEAP (certified employee assistance professional ) required to obtain within 2 years of employment.… more
- UnityPoint Health (Cedar Rapids, IA)
- … care decision-making. Qualifications + State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional communication - written & ... on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in coordinating… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …activities, with the processes currently in place for medical, surgical, and behavioral health . This position will interact with members, providers and ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Health Support Coordinator Location: Remote Career Area: Customer Service/Operations About… more
- AmeriHealth Caritas (Philadelphia, PA)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay… more
- CVS Health (Austin, TX)
- …is not accepting applicants whose only acute care experience is in behavioral health ) **Preferred Qualifications** + 1+ years' experience Utilization Review ... At CVS Health , we're building a world of health...overall healthcare system performance. Education Bachelor's degree preferred/specialized training/relevant professional qualification. Prior Relevant Work Experience 3-5 years Essential… more
- Molina Healthcare (Louisville, KY)
- …prior authorization for outpatient and inpatient services for the OH Medicaid behavioral health population. Strong post-acute level of care experience (Nursing ... Facilities, Acute Inpatient, Rehabilitation, Long Term Acute care hospital, Behavioral Health Facility. Excellent computer multi-tasking skills and good… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …provides administrative support for any of the programs of Utilization Management, Behavioral Health , Quality Management, or Member Care Management. This ... specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims, and the referral… more
- Highmark Health (Harrisburg, PA)
- …panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of ... the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each… more
Related Job Searches:
Behavioral,
Behavioral Health,
Behavioral Health Professional,
Health,
Health Professional,
Professional