- WellSpan Health (York, PA)
- …or uncompensated care . Provides support to multiple provider types in behavioral health authorization process. Performs a variety of functions including, but ... 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health ...nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and… more
- WellSpan Health (Mount Gretna, PA)
- …and Accreditation, Risk Management, billing) and provides oversight to behavioral health support departments ( Managed Care Specialist team and Central ... **General Summary** Provides leadership and oversight of the behavioral health ambulatory service line to...within the organization. + Ensures the provision of affordable health care services by the acquisition, partnership,… more
- CVS Health (Harrisburg, PA)
- …mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Aetna policies and procedures ... typing into the computer **Required Qualifications** * 2 years Behavioral Health care experience. *...navigating multiple systems and keyboarding. **Preferred Qualifications** * Previous Managed Care experience. * Psychology or Social… more
- Humana (Harrisburg, PA)
- …Social Worker (LMSW-ACP), Clinical Psychologist** with; + Clinical experience in: pediatrics, behavioral health , and/or ASD; a healthcare environment; and proven ... care + Minimum of 1 year of managed care experience **OR** A current, valid,... Counselor (LMHC)** with; + Clinical experience in: pediatrics, behavioral health , and/or ASD; a healthcare environment;… more
- Highmark Health (Harrisburg, PA)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members on a proactive basis;… more
- WellSpan Health (Lewisburg, PA)
- …clinical judgment and adheres to processes / standard work related to the coordination of care of Behavioral health patients. + Maintains an awareness of ... encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central… more
- CVS Health (Harrisburg, PA)
- …thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers… more
- UPMC (Mckeesport, PA)
- We are hiring a full-time Behavioral Health Navigator I to support UPMC McKeesport! The Behavioral Health Navigator I will be responsible for the ... and summarizes the patient information for admissions to a behavioral health unit and triaging patient for...attitude. + Ability and willingness to work in a managed care environment. + Excellent ability and… more
- UPMC (Pittsburgh, PA)
- UPMC Western Psychiatric Hospital is hiring a full-time Behavioral Health Navigator I to support the PsychCare Plus team! Psych Care Plus is the admission ... and outpatient scheduling service for UPMC Behavioral Health Service Line for Western Psychiatric...attitude. + Ability and willingness to work in a managed care environment. + Excellent ability and… more
- UPMC (New Castle, PA)
- We are hiring a casual Behavioral Health Navigator I to support UPMC Jameson! The Behavioral Health Navigator is responsible for the assessment and ... and summarizes the patient information for admissions to a behavioral health unit and triaging patient for...attitude. + Ability and willingness to work in a managed care environment. + Excellent ability and… more
- UPMC (Pittsburgh, PA)
- We are hiring a part-time Behavioral Health Navigator I to support UPMC Mercy! The Behavioral Health Navigator I is responsible for the assessment and ... and summarizes the patient information for admissions to a behavioral health unit and triaging patient for...attitude. + Ability and willingness to work in a managed care environment. + Excellent ability and… more
- UPMC (Altoona, PA)
- We are hiring a part-time Behavioral Health Navigator I to support UPMC Altoona! The Behavioral Health (BH) Navigator I is responsible for the assessment ... Psychology, Counseling or Social Work with one-year of mental health direct care experience OR master's degree...attitude. + Ability and willingness to work in a managed care environment. + Excellent ability and… more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Community Services Department in Blair ... + Facilitates linkages for members and families between primary care and behavioral health providers...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- UPMC (Pittsburgh, PA)
- …concerns and needs. + Facilitates linkages for members and families between primary care and behavioral health providers and other social service ... of care with case management, physicians, pharmacy, behavioral health , and other providers or ...software applications required. + Three years experience in a managed care environment preferred Experience with geriatric… more
- UPMC (Pittsburgh, PA)
- …concerns and needs. + Facilitates linkages for members and families between primary care and behavioral health providers and other social service ... of care with case management, physicians, pharmacy, behavioral health , and other providers or ...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- UPMC (Media, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Licensed Professional Care Manager to support the Care Management team in Delaware ... training, and experience, with expertise in the delivery of behavioral health care . In addition,...of three years of relevant clinical experience. Experience in managed care strongly preferred. + General knowledge… more
- CVS Health (Harrisburg, PA)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... about care management within Medicare and Medicaid managed care . + Familiarity with community resources...and engagement skills. **Required Qualifications** + 2+ years in behavioral health , social services, or a related… more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Care Management Department in Beaver & ... + Facilitates linkages for members and families between primary care and behavioral health providers...and coordinate service plans. + Ensures that cases are managed and documentation is within established timeframes in accordance… more
- WellSpan Health (Lebanon, PA)
- …continuum of care through our extensive WellSpan primary, specialty, ambulatory, and behavioral health care locations within the community. WellSpan Good ... use of community resources and responsibilities of membership in managed care . + Completes necessary paperwork, prior...2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health … more
- Magellan Health Services (Morrisville, PA)
- …needs, and care management. Entails coordination with PA HealthChoices physical health managed care organizations, members and community providers. This ... and substance abuse benefits, community treatment resources, mental health managed care programs, and...behavioral health , psychiatric and/or substance abuse health care setting. Strong organization, time management… more