- 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
- Humana (Indianapolis, IN)
- …value-based care, quality metrics, population health , and disease or care management . The Behavioral Health Medical Director may develop procedures, ... part of our caring community and help us put health first** The Behavioral Health ...management , utilization management , case management , discharge planning and/or home health or… 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
- 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
- Elevance Health (Indianapolis, IN)
- …health care program in which Indiana members' needs are identified, including physical health , behavioral health , and social services for older adults, ... Skills, Capabilities, and Experiences** Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.… 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)
- …care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. + Uses motivational ... Management II** **$2000 Sign on Bonus** At **Federal Health Products and Services - FHPS** , a proud...for multiple managed conditions to ensure cost-effective and efficient utilization of health services. Conducts assessment, planning,… 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
- 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
- Intermountain Health (Indianapolis, IN)
- …accredited institution. Degree will be verified. + Experience in case management , utilization review, or discharge planning. **Physical Requirements:** Ongoing ... works collaboratively with physicians and other members of the health care team to improve the health ...allocation of resources while balancing clinical quality and cost management . **Posting Specifics** + Pay Range: $39.99 - $59.18… 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
- Elevance Health (Cumberland, IN)
- …identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... care team, to ensure cost effective and efficient utilization of health benefits. + Decision making...management case load, highly preferred. + MA/MS in Health /Nursing preferred. + Travels to worksite and other locations… more