- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within… more
- Elevance Health (Indianapolis, IN)
- …Skills, Capabilities and Experiences** : + Experience in Utilization Management preferred. + Board Certified Behavioral Analyst (BCBA) or Licensed ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...review. **How you will make an impact:** + Coordinating utilization management process including appropriate use of… more
- Community Health Network (Anderson, IN)
- …and facilitates trainings on specific bio-psychosocial approaches for the team. Assists with management of urgent behavioral health needs with medical ... Behavioral Health Consultant- LCSW, LMHC, or...required. - 2 + years of experience providing mental health treatment required. - Utilization of conventional… more
- Elevance Health (Indianapolis, IN)
- …Skills, Capabilities and Experiences** : + Experience in Utilization Management preferred. + Board Certified Behavioral Analyst (BCBA) or Licensed ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...is licensed staff supervision. + Previous experience in case management / utilization management with a broad… more
- Elevance Health (Indianapolis, IN)
- **Director Behavioral Health Program and Services** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...care programs and services, such as Employee Assistance Programs, Utilization Management and Crisis Calls. Works in… more
- CenterWell (Indianapolis, IN)
- …training education spanning onboarding to continuing education. **Role Description** The LCSW Behavioral Health Educator will be embedded within the clinical ... team and will oversee training aspects of the cognitive behavioral health screenings, psychosocial assessments, techniques that...has a deep understanding of all the High-risk program management roles and gains the respect and confidence of… more
- Humana (Indianapolis, IN)
- …clinical services . Experience in utilization management review and case management in a health plan setting . No current sanction from Federal or ... part of our caring community and help us put health first** The Behavioral Health ...a focus on collaborative business relationships, value-based care, population health , or disease or care management +… more
- Highmark Health (Indianapolis, IN)
- …account, and member educational initiatives that promote the Organization's Formularies, utilization management programs, and case/ disease management ... information to improve individual outcomes as an adjunct to health coaching. If acting in the capacity as a...review. + Assist in the development and implementation of utilization management programs including but not limited… more
- Highmark Health (Indianapolis, IN)
- …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses ... and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Elevance Health (Southport, IN)
- …identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and accurate… more
- Community Health Network (Anderson, IN)
- Social Worker- Lic MSW- Anderson Job Ref 2407881 Category Behavioral Health Job Family Social Worker Department Admin Oncology Schedule Full-time Facility Cancer ... Care Services policies and procedures. - Participates in Aggressive Behavior Management appropriate to the population served. See Behavioral Care Services… more
- Elevance Health (Indianapolis, IN)
- …for over 150 years. With capabilities spanning pharmacy, behavioral health , complex care delivery, medical benefits management , payment integrity, palliative ... involved in Utilization Management , Specialty Benefits Management , Payment Integrity, Advocacy, Health Plan Subrogation, Behavioral Health , … more
- Highmark Health (Indianapolis, IN)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/ Management or Public Health **EXPERIENCE** **Required** + 5 years… more
- Elevance Health (Indianapolis, IN)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... Medical Director** will support our National Account clients in operations with utilization and case management reviews using evidence-based guidelines and be… more
- State of Indiana (Indianapolis, IN)
- …Preferred experience includes: managed care and/or health system experience, care management and utilization management experience; and familiarity with ... staff with responsibilities for coverage, medical & pharmeceutical policy and program management , utilization management , prior authorization, care … more
- Highmark Health (Indianapolis, IN)
- …(NCQA), Utilization Review Accreditation Committee (URAC), Pennsylvania Department of Health , Department of Labor, the Center for Medicare and Medicaid Services ... review and make determinations regarding physician reviewer assignments for medical management decisions. Cases requiring physician review are provider and member… more
- Highmark Health (Indianapolis, IN)
- …sales revenue and expanding market share through new client acquisition and relationship management . The ideal candidate will have a strong background in B2B sales, ... as: Financial Services, Utilities, Property and Casualty Insurance + CRM utilization **Preferred** + Transactional print and mail and digital delivery experience… more
- CenterWell (Indianapolis, IN)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... **Become a part of our caring community and help us put health first** The Clinical Pharmacy Technician 4 assists the interdisciplinary CIT team with… more
- CenterWell (Indianapolis, IN)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... **Become a part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to… more