- Kepro (Indianapolis, IN)
- … Medical Director shall provide the clinical and administrative medical oversight for Behavioral Health Utilization Management reviews. The Medical ... solutions in the public sector. Acentra seeks a Behavioral Health Medical Director with an MD...in the State of Indiana, Michigan, or Illinois + Utilization Management (UM) review experience + Experience… more
- Community Health Network (Greenfield, 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 or LMHC...required. - 2 + years of experience providing mental health treatment required. - Utilization of conventional… more
- Community Health Network (Indianapolis, IN)
- Behavioral Health Therapist Acute- North Job Ref 2404653 Category Behavioral Health Job Family Behavioral Health Therapist Department Social Svcs ... Behavioral Health Schedule Full-time Facility Behavioral Health Northside Northside Indianapolis, IN United States Shift Day Job Hours Monday - Friday,… more
- Elevance Health (Indianapolis, IN)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the...clinical reviews. + The Medical Director typically has program management responsibilities including clinical policy development, program development/implementation, and… 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 ... Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as… 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)
- …of clinical, case/ utilization management and/or disease/condition management experience, or provider operations and/or health insurance experience ... health status/severity and clinical needs; and assesses health management needs of the assigned member...clinical care is being provided. **Preferred** + Certification in utilization management or a related field +… more
- Community Health Network (Carmel, IN)
- …Use Disorder Therapist- Recovery Lodge for Men- Fairbanks- Carmel Job Ref 2403446 Category Behavioral Health Job Family Behavioral Health Therapist ... patients suffering from addiction receive exceptional care. **Make a Difference** The Behavioral Health Therapist Acute provides direct patient care through… more
- Highmark Health (Indianapolis, IN)
- …Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care services, ... utilization , identification of opportunities for referral to a Health Coach/case management , and identification and resolution...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Elevance Health (Indianapolis, IN)
- …PST.** The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... For Health Solutions and Carelon organizations (including behavioral health ) only, a minimum of 5...a State agency. **Preferred Skills, Capabilities, and Experiences:** + Utilization Management experience is a plus. +… more
- Elevance Health (Indianapolis, IN)
- …member's circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable ... associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation… more
- Cummins Behavioral Health Systems Inc. (Avon, IN)
- …policy, procedures and objectives while coordinating with related departments'consumer access, health information management , utilization review, and ... Office 260 + Avon, IN, USA + Full Time Email Me This Job Cummins Behavioral Health Systems, Inc. is seeking to add a dedicated, creative professional to serve in… more
- Liberty Healthcare Corporation (Pendleton, IN)
- …have the opportunity to help a significant number of juveniles improve their behavioral health , prevent sexual abuse and victimization, and enhance safety in ... your community. Your day-to-day work will involve providing in-person behavioral health services to adjudicated juvenile sex offenders onsite at the Pendleton… more
- Highmark Health (Indianapolis, IN)
- …for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is ... including verification of benefit eligibility. Build cases in the utilization management system. + Use knowledge of...0 - 1 year of experience working in the Health Insurance Industry **LICENSES AND CERTIFICATIONS** **Required** + None… more
- Community Health Network (Noblesville, IN)
- Social Worker Lic MSW-HATS Geriatrics- Noblesville Job Ref 2404945 Category Behavioral Health Job Family Social Worker Department Touchpoint HATS Schedule ... Care Services policies and procedures. - Participates in Aggressive Behavior Management appropriate to the population served. See Behavioral Care Services… more
- Elevance Health (Cumberland, 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
- 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)
- …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... an equivalent background. For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing … more
- Highmark Health (Indianapolis, IN)
- **Company :** Highmark Health **Job Description :** Job Description **JOB SUMMARY** This role within the marketing & experience department will be at the forefront ... includes leveraging cutting-edge customer experience platforms, implementing robust data management solutions, and optimizing marketing automation tools to drive… more
- Highmark Health (Indianapolis, IN)
- …resource efficiency. + Proposes ideas, designs, and solutions to lead engineers and management to further cloud service utilization and optimization. + Develops ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...of action. + Level 3 Incident, problem and change management as it pertains to the responsibilities of the… more