- AmerisourceBergen Services Corporation (Conshohocken, PA)
- …backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver ... want to make a difference at the center of health , come join our innovative company and help us...end, ad hoc, rebate, and administration reports; requires the utilization of multiple systems and the consolidation of data… more
- AmerisourceBergen Drug Corporation (Conshohocken, PA)
- …backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver ... deliver on that purpose. If you want to make a difference at the center of health , come join our innovative company and help us improve the lives of people and… more
- Elevance Health (Topeka, KS)
- …Park 1-2x a week. This is a hybrid role.** The **Manager of Behavioral Health - Kansas - Utilization Management (BH UM)** will manage a team ... + MS in social work, counseling, psychology or related behavioral health field or a degree in...and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of… more
- Point32Health (MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Provide behavioral health utilization review and care management in order ... care and to ensure coordination of care. To facilitate coordination and integration of behavioral health , medical management , and case management … more
- CVS Health (Frankfort, KY)
- …/benefit management program. **Required Qualifications** + Licensed independent behavioral health clinician with Kentucky state licensure (LCSW, LPCC, ... clinically appropriate treatment, evidence-based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus.… more
- CVS Health (Harrisburg, PA)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... care or outpatient clinic/facility + Active and unrestricted independent professional behavioral health clinical license to practice per state regulations… more
- Centene Corporation (Jefferson City, MO)
- …Licensure and/or Compact State Licensure required Additional Details: * Department: IL Meridian Behavioral Health Utilization Management Pay Range: ... CST or EST time zone with experience in mental health settings and utilization management ...regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
- CVS Health (Tallahassee, FL)
- …working in community based mental health service like Targeted Care Management , Psychosocial Rehabilitation, or related utilization management experience ... Hours for this role are Monday-Friday 8:30a-5:00p EST. **Position Summary** The Medicare Behavioral Health Outpatient clinician will be part of the Medicare… more
- BronxCare Health System (Bronx, NY)
- Overview The Coordinator- Behavioral Health Utilization Management (BH-UMC) will review and monitor all patientsadmitted into psychiatry or substance ... for appropriateness of admission according to nationally recognizedcriteria. Responsibilities The Coordinator- Behavioral Health Utilization Management … more
- Kepro (Indianapolis, IN)
- … Medical Director shall provide the clinical and administrative medical oversight for Behavioral Health Utilization Management reviews. The Medical ... the public sector. Acentra is looking for a Part-Time Behavioral Health Medical Director to join our...clinical specialty if MD or DO. + Experience in Utilization Management (UM) with knowledge of Medicaid… more
- AmeriHealth Caritas (Manchester, NH)
- …to ensure that AmeriHealth Caritas New Hampshire's substance use disorder and behavioral health care management , utilization management and quality ... products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more… more
- CVS Health (Denver, CO)
- …care setting such as ambulatory care or outpatient clinic/facility. * Unencumbered Independent Behavioral Health clinical license in the state where they work. ... LMSW, LSW, LISW, LMFT, LMHC, LCSW) OR RN with 3+ years of clinical behavioral health experience required. **Preferred Qualifications** * Knowledge of mental … more
- CVS Health (Harrisburg, PA)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health . Utilizes clinical experience and skills in a ... to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and...+ Must have active current and unrestricted Independent clinical behavioral health license in the state of… more
- CVS Health (Boise, ID)
- …coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health services. Applies ... clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus… more
- CVS Health (Jefferson City, MO)
- …standard business hours. No nights, weekends or holidays.** **As a UM Clinician Behavioral Health you will:** + Utilize clinical experience and skills in ... with clients with an Autism Diagnosis + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in… more
- FLACRA (Clifton Springs, NY)
- …work experience in the behavioral health field with knowledge of utilization management practices. Valid NYS Drivers' License. Get job alerts by email. ... PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area...Counseling and Recovery Agency (FLACRA) is a growing, not-for-profit behavioral health and substance abuse treatment provider… more
- Spectrum Billing Solutions (Skokie, IL)
- …+ Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR Specialist ... Review Specialist | ABA Utilization Review Specialist | ABA Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing… more
- Point32Health (MA)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Behavioral Health Psychologist Reviewer will primarily perform utilization management ... any partner entities at the direction of Behavioral Health Medical Director Team Leader for Utilization Management (UM) and/or the Medical Director of… more
- ManpowerGroup (Columbia, SC)
- …to join one of our Fortune 500 clients. **Note:-** + Must Have Behavioral Health Experience + Previous Utilization Management (UM) or Case Management ... policies, and established clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency and… more
- Providence (WA)
- …of the core functional areas of behavioral health within the Care Management and Utilization Management programs + Be the front line responder to ... we must empower them._** **Providence Health Plan is calling a Behavioral Health Care Navigator who will:** + Be responsible for performing duties in support… more
