- Marion County (Salem, OR)
- …and program.KNOWLEDGE, SKILLS, AND ABILITIESWorking knowledge of community mental health concepts or chemical dependency case management and treatment ... a liaison (with supervisory oversight) between ABH and various stakeholders involved in mental health care, including Oregon State Hospital (OSH), acute care… more
- Community Health Plan of Washington (Eugene, OR)
- …About the Role The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization ... health setting. * Have previous experience in Utilization Management and Managed Care, preferred. Essential...and generous employer match * Employee Assistance Program and Mental Fitness app * Financial Coaching, Identity Theft Protection… more
- VNS Health (Bronx, NY)
- …or related degree requiredWork Experience: Minimum one year of social work experience in a mental health or social service setting required VNS Health Job ID ... VNS Health is seeking a Social Work Social Worker...and education to help patients and their families navigate mental illness, access community resources, and manage symptoms to… more
- Pathways Vermont (Burlington, VT)
- …dynamic nonprofit agency committed to permanently ending homelessness and offering innovative mental health services. Soteria House Program Manager supports a ... a Therapeutic Community Residence (TCR). Services are funded by the Vermont Department of Mental Health (DMH) and TCR compliance is overseen by the Department of… more
- ColumbiaCare Services (Richmond, CA)
- APPLY TODAY AND MAKE A DIFFERENCE IN THE MENTAL HEALTH FIELD! **Relocation Assistance Available** What We OfferEnjoy our many benefits and incentives including: ... or Multilingual candidates (Spanish/English desired).What You'll NeedMUST have a Master's degree in mental health field. Licensure as Oregon LPC, LCSW, LMFT, or… more
- Parkhill (Arlington, TX)
- …401k contribution, short/long term disability coverage, performance bonuses. Well-Being: mental health care, culture committees, wellness programs, charitable ... ensure a successful outcome. Oversee project cost and staff and balance utilization and profitability. Direct and manage multiple projects. Readily assists as needed… more
- Kepro (Minneapolis, MN)
- …health solutions in the public sector. Acentra is looking for a Utilization Management - Mental Health Clinical Reviewer to join our growing team. ... upon job offer. + Minimum five years direct clinical work as a mental health professional in a variety of clinical settings + Knowledge of the organization… more
- Magellan Health Services (San Diego, CA)
- …Experience with Care Management workflows. Knowledge of utilization management procedures, mental health and substance abuse community resources ... term care plan to guide the member through their mental health care. Oversees the work of...Educates providers, supporting staff, members and families regarding care management role and health strategies with a… more
- Magellan Health Services (Johnstown, PA)
- …time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community resources ... collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient… more
- Centene Corporation (Austin, TX)
- …California or Texas.** **Hours are 9:30am-6pm PST.** **Position Purpose:** Review / authorize utilization of mental health and substance use services across ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,... health and substance abuse preferred. Knowledge of mental health and substance abuse utilization… more
- Huron Consulting Group (Chicago, IL)
- …as the expert you are now and create your future. **Qualifications** The Utilization Management Specialist is responsible for ensuring the appropriate ... to facilitate optimal patient outcomes while managing healthcare costs. The Utilization Management Specialist ensures compliance with regulatory requirements and… more
- Centene Corporation (Oklahoma City, OK)
- …to mental health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and… more
- Cleveland Clinic (Stuart, FL)
- …nurses, and other caregivers in a family-oriented, supportive environment. As a PRN Utilization Management (UM) Specialist, you will perform UM activities, such ... experience. + Has at least two years of care management or utilization management experience....for everyone, and comprehensive benefits that invest in your health , your physical and mental well-being and… more
- CDS Life Transitions (Webster, NY)
- Summary: Utilization Management Reviewer (UR) is the critical evaluation of health care services provided to members using an integrated approach to ... services, with the purpose of controlling costs and monitoring quality of care. The Utilization Management Reviewer will play a key role in conducting these… more
- Elevance Health (Washington, DC)
- …and clinical management policy, procedures, and strategies. + Evaluates medical, mental health , and substance abuse services for cost containment, to include ... degrees of medical complexity and acuity. Participates in case and/or utilization management execution/decision making for managed member populations. Primary… more
- Trinity Health (Livonia, MI)
- …others to promote the philosophy, mission, vision, goals and values of Trinity Health . **PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS** Must be able ... the direction of the System Office Pharmacy Directors, the Medication Utilization Coordinator is responsible for coordinating and facilitating formulary adherence… more
- Cleveland Clinic (Weston, FL)
- …Miami-Fort Lauderdale metro area and remains a top hospital in Florida. As a Utilization Management (UM) Specialist, you will work under the general supervision ... for everyone, and comprehensive benefits that invest in your health , your physical and mental well-being and...*Achieves a minimum of 85% on IRR quarterly. *Completes Utilization Management for assigned patients with a… more
- AdventHealth (Tampa, FL)
- …One .Student Loan Repayment Program .Career Development .Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining ... Association as a Primary Stroke Center. **The role** **you'll** **contribute:** The Utilization Management (UM) Specialist works under the direction of the… more
- University of Washington (Seattle, WA)
- …the UW Medical Center - Northwest campus in 2024, offers an unparalleled opportunity to transform mental health care and to improve mental health care ... Ensures the delivery of optimal care for our Behavioral Health and med/surg patients while promoting fiscal responsibility +...POSITION QUALIFICATIONS** + 3 years of work experience in utilization management + 5 years of nursing… more
- Trinity Health (Syracuse, NY)
- …Our staff are supported by a variety of resources for physical and mental health . + **Professional Relationships** : Strong rapport with our interdisciplinary ... 10,000 sign-on retention bonus for qualified experienced RN's. The Registered Nurse Utilization Review (UR), Clinical Care Manger (CCM) actively manages the … more
