- 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
- Apex Health Solutions (Houston, TX)
- …services and support to improve health outcomes via a coordinated approach. The Care Manager works in collaboration and continuous partnership with patients and ... outcomes. Using a defined process to identify patients/members at risk for poor outcomes, the Care Manager establishes care plans and goals, and coordinates … more
- WellSense (Boston, MA)
- Senior Manager of Clinical UM - BH WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire ... members, no matter their circumstances. **Job Summary:** The Senior Manager of Clinical Utilization Management ( UM ), Behavioral...of BH Clinical Programs, independently leads new BH UM program development and implementation, starting… more
- Magellan Health Services (Honolulu, HI)
- …Strong verbal and written communications skills. General Job Information Title Director, Clinical Care ( UM / BH ), HMSA, Licensed/Reside in Hawaii Grade 30 Work ... CM meetings as needed. + Audits and reviews case manager , Health guide, UM staff, vendor, and...care standards in the participating provider network, vendors, UM staff, Health Guides, and for case managers. +… 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 (Olathe, KS)
- Location: Candidate must live within 50 miles of our Kansas PulsePoint offices. Please note: The BH Care Manager ( UM ) job progression is primarily a ... our members are directed to the appropriate level of care . Whereas the BH Case Mgr (CM)...healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to… more
- Elevance Health (Tampa, FL)
- …to ensure cost effective and quality member care . **Additional responsibilities for integrated BH UM and BH CM model include:** + Integrates the ... on the area of Integrated Behavioral Health Case Management ( BH CM) The ** Manager Behavioral Health Services**...Managed Care setting required. **Additional requirements for BH UM :** + MS in social work,… more
- Elevance Health (Olathe, KS)
- …+ Prior experience in Managed Care setting required. **Additional requirements for BH UM :** + MS in social work, counseling, psychology or related behavioral ... one will be responsible for overseeing a team of care managers ( UM ).** The ** Manager ...Behavioral Health** is responsible for Behavioral Health Utilization Management ( BH UM ), or Behavioral Health Case Management… 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
- Baystate Health (Springfield, MA)
- …level of care to promote optimal health. Serve as a clinical liaison between the primary care team and HNE UM staff. Under the direction of an RN, the LPN ... UM collaborates with the patient, patient's entire primary care team, and the Health New England UM...Key Responsibilities: *Under the direction of the RN ACO Manager + Interact with treatment providers, PCPs, physicians, therapists,… more