- Elevance Health (Winston Salem, NC)
- …and insightful analytics to improve the delivery of care . ** BH Care Manager I, UM /Crisis Line - North Carolina** Candidate must live AND be licensed ... 8 pm to 7:30 am (EST). Rotating Holiday coverage.** The ** BH Care Manager I, UM /Crisis Line** is responsible for managing psychiatric and substance abuse… more
- Magellan Health Services (Honolulu, HI)
- …influence quality of care . General Job Information Title HMSA Care Manager - BH , UM Reviewer - Remote Hawaii Grade 24 Work Experience - Required ... + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. Proposes… more
- Elevance Health (Tampa, FL)
- …(CM) job progression is primarily member facing and involves complete clinical assessment. Whereas the BH Care Manager ( UM ) job progression is primarily ... autism and depression, and insightful analytics to improve the delivery of care ._ The ** BH Case Manager Lead** will be responsible for coordinating… more
- Elevance Health (Cary, NC)
- …days to include weekends and holidays, and starting at 5 pm or 10 pm EST.** The BH Care Manager I responsible for managing psychiatric and substance abuse or ... depression, and insightful analytics to improve the delivery of care . **The ideal candidate will live within 50 miles...behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to… more
- Elevance Health (Indianapolis, IN)
- …use of health benefits and community resources. + Will serve as a resource to other BH Care Managers. + Assists with more complex cases and may participate in ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to...with complex psychiatric/substance abuse cases required. + Prior managed care experience required. + However, for states that do… more
- Elevance Health (Jacksonville, FL)
- …to ensure cost effective and quality member care . + Additional responsibilities for integrated BH UM and BH CM model include: Integrates the UM /CM ... depression, and insightful analytics to improve the delivery of care ._ The ** Manager II Behavioral Health Services**...Managed Care setting required. Additional requirements for BH UM : MS in social work, counseling,… more
- VNS Health (Manhattan, NY)
- …and medical director meetings as stipulated by the State BH contract manager . Serves as the principal behavioral health/social care expert and liaison for ... behavioral health sections of the Quality Management (QM)/Utilization Management ( UM ) Plan. Oversees the administration of all BH...organization (BHO), with minimum of 4 years in a BH utilization and care management Director or… more
- Elevance Health (Cerritos, CA)
- …Manager II Behavioral Health Services** is responsible for Behavioral Health Utilization Management ( BH UM ), or Behavioral Health Case Management ( BH CM) ... non-clinical support staff responsible to ensure appropriate linkage to care for outpatient BH services. + Leads...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Overland Park, KS)
- …use of health benefits and community resources. + Will serve as a resource to other BH Care Managers. + Assists with more complex cases and may participate in ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to...with complex psychiatric/substance abuse cases required. + Prior managed care experience required. + For URAC accredited areas, the… more