- Bluestone Child & Adolescent Psychiatric Hospital (University Heights, OH)
- …A minimum of 1 year experience as a psychiatric nurse. 1-2 years-experience in behavioral health utilization review preferred. AGENCY SUMMARY: Bluestone is ... our employees and their families, including domestic partners. Our offerings include: Comprehensive health and Rx plans, including a flat rate ($5, $10, $15) option.… more
- MVP Health Care (Tarrytown, NY)
- …For in New York , and an Inclusive Workplace . The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental health ... improvement. To achieve this, we're looking for a Professional, Behavioral Health to join #TeamMVP. If you...adolescents, with at least 2 years being ASD related Utilization or Case Management experience in a… more
- Wisconsin Community Services (Milwaukee, WI)
- …Join a great team! We are a fast-paced Community Based Mental Health program seeking a person with the following qualities: Compassionate; experience working ... Attention recent graduates! Working as a Case Manager in our Targeted Case Management program offers many unique opportunities and benefits: *Our Case Managers serve… more
- Premise Health (Pleasanton, CA)
- …time, a company-sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents. ... hope you will join us in our mission and experience why amazing health starts with amazing healthcare. For more information, visit www.jobs.premisehealth.com. As a… more
- AmeriHealth Caritas (LA)
- **Role Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing ... products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more… more
- PeaceHealth (Bellingham, WA)
- **Description** PeaceHealth is seeking a RN Admissions/ Utilization Behavioral Health - Care Management for a Full Time, 1.00 FTE, Day position. The ... monitor for change of status and notify payer. + Provide admission support to Behavioral Health unit/ED/SECU as needed. Assist MSW with initial assessments, as… more
- CVS Health (Oklahoma City, OK)
- …+ Managed care/ utilization review experience preferred + Experience in a behavioral health inpatient setting + Ability to multitask, prioritize and ... every day. **_Work at home Position-Must Reside in Oklahoma_** **Position Summary: Behavioral Health Clinical Reviewer (LCSW, LCPC, RN)** Licensed clinical… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …a member's benefit coverage while working remotely. Primary Responsibilities * Performs behavioral health clinical utilization reviews using evidenced based ... About The Role BHPS provides Utilization Management services to its clients....* Experience with both inpatient and outpatient reviews for Behavioral Health (examples: TMS, ECT, ABA, Psychotherapy,… more
- Molina Healthcare (Bowling Green, KY)
- …chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and… more
- CVS Health (Oklahoma City, OK)
- …stakeholders to identify and address patient needs (eg care team, social work, behavioral health , utilization management , Hard-to-Reach, Central ... follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and...we looking for?** **Required Qualifications** + Active RN or Behavioral Health (BH) license in good standing… more
- Centene Corporation (Austin, TX)
- … Health goals for the product. + Take a macro-level view of behavioral health utilization management responsibilities to optimize clinical resource ... Provides strategic and clinical leadership for Behavioral Health across all clinical functions ( Utilization Management , Care Management , Quality, and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to manage multiple priorities and work independently. Experience in Behavioral Health and Utilization Management is preferred, and familiarity with ... priorities and work independently. * Experience with Behavioral Health and Utilization Management processes preferred. * Familiarity with agile… more
- UNC Health Care (Hendersonville, NC)
- …for behavioral health services. Working closely with behavioral health clinicians, utilization review, case management , and finance teams, the ... appropriate care transition and patient placement. + Liaise with utilization review, psychiatry leadership, risk management , and/or... field. + Minimum 2 years of experience in behavioral health , care coordination, case management… more
- CVS Health (Harrisburg, PA)
- …clinically appropriate treatment, evidence based care an clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. - ... One of the following is required: Unencumbered Master's Level Behavioral Health clinical license in the state...required for either BH or RN -1+ years of utilization review/ utilization management required (ie… more
- Humana (Indianapolis, IN)
- …administration and strategic management of behavioral and physical health services, including Utilization Management (UM), Quality Improvement, and ... specialists + Develops comprehensive care programs for the management of adult behavioral health ...Management (QM) program; and work closely with the Utilization Management (UM) of services and associated… more
- Molina Healthcare (Dayton, OH)
- …professionals in some or all of the following functions: care management , utilization management , behavioral health , care transitions, long-term ... Job Duties * Assists in implementing health management , care management , utilization management , behavioral health and other program… more
- Adecco US, Inc. (Minneapolis, MN)
- …decisions, rationale, and alternative treatment options. * Assist callers routed to the Behavioral Health Utilization Management department and resolve ... of providers and members for all authorization requests. * Input and prepare Behavioral Health and Substance Use Disorder authorizations across all lines of… 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health , Pharmacy, Registered ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- Centene Corporation (Sacramento, CA)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...policies and standards. We are seeking a Licensed Clinical Behavioral Health Professional or RN to join… more
