- Humana (Baton Rouge, LA)
- …part of our caring community and help us put health first** The Licensed Behavioral Health Utilization Management Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Licensed Behavioral Health Utilization Management Professional 2… more
- Elevance Health (Norfolk, VA)
- …initiatives. **Minimum Requirements:** + Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 ... (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services… more
- Magellan Health Services (Boise, ID)
- …LCSW, LSW, LPC or RN. Minimum 2 years experience post degree in healthcare, behavioral health , psychiatric and/or substance abuse health care setting. Strong ... the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or...quality of care. General Job Information Title Care Manager ( UM /UR) - Remote, Idaho Licensed Grade 24… more
- Molina Healthcare (Tampa, FL)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... state, federal, and third-party regulations. **Required License, Certification, Association** If licensed , license must be active, unrestricted and in good standing.… more
- Magellan Health Services (San Diego, CA)
- …After Hours coverage may be required. General Job Information Title Medical Director, Behavioral Health (Part Time, Remote), Licensed /Reside in CA Grade ... This position is remote in California, candidates must be licensed and reside in CA. Part Time position. This...position. This position supports the clinical vision for the health plan(s) for all lines of business (Medicaid, Medicare,… more
- VNS Health (Manhattan, NY)
- OverviewDirects plans, evaluates, and coordinates Behavioral Health and Social Care needs for multiple lines of business including HIV-SNP -HCBS/HARP, MAP, MAPD, ... and DSNP Plans. Demonstrates a commitment to delivering high-quality, personalized Behavioral Health services, placing member needs and recovery goals at the… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Behavioral Health Senior Clinician - Residential Treatment & Detox Services Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4762354) ... Apply Behavioral Health Senior Clinician - Residential Treatment...of clinical experience. + Ability to register as a licensed eligible mental health professional within 90… more
- Highmark Health (Columbus, OH)
- …**Required** + High School Diploma/GED with RN license or Master's Degree if licensed behavioral health professional **Substitutions** + None **Preferred** + ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical, Case Management and/or Condition Management + Experience in a… more
- Magellan Health Services (Albuquerque, NM)
- …continuous quality improvement (CQI) processes. General Job Information Title Senior Medical Director, Behavioral Health - New Mexico Grade 37 Work Experience - ... is remote in New Mexico, candidates must be NM licensed and reside in NM. This position supports the...NM. This position supports the clinical vision for the health plan(s) for all lines of business (Medicaid, Medicare… more
- Magellan Health Services (San Diego, CA)
- …Practice Association (IPA) Primary Care Physicians) to provide education on behavioral health topics/issues to improve member outcomes. Provide on-going ... oversight over clinical functions in California. Candidates must be licensed and reside in CA and this is a...Programs. + Facilitate referrals to HAI-CA's clinical programs or behavioral health network as clinically indicated. Provide… more
- CVS Health (Tallahassee, FL)
- …clinically appropriate treatment, evidence-based care and clinical practice guidelines for Behavioral Health , specific to Behavior Analysis. Utilizes clinical ... Qualifications** + Must have active, current and unrestricted LBA ( Licensed Behavioral Analyst) or BCBA (Board Certified...3+ years of clinical practice experience (eg, hospital or behavioral health setting, Autism treatment and BA… more
- Sevita (Los Angeles, CA)
- …day. Join us today, and experience a career well lived. **Caregiver/DSP for Behavioral Group Home** **_Pay Rate for this Home: $20/hour_** **_Schedules are regular ... people with their personal hygiene and support individuals who can have behavioral challenges and other complex needs. If you're compassionate, patient, and find… more
- VNS Health (Manhattan, NY)
- …quality care is being provided as needed. + Reviews utilization, care management and behavioral health (BH) data; identifies trends and needs of the program ... to the daily operations and administration of medical management for VNS Health Plans. Assists senior leadership in planning, directing and coordinating all medical… more
- University of Miami (Coral Gables, FL)
- …. The University of Miami's Autism Spectrum Assessment Clinic (https://umasac.psy.miami.edu/) ( UM ASAC), an affiliated clinic of the University of Miami's Center ... for Autism and Related Disabilities (https://www.card.miami.edu/) ( UM CARD), has an open psychologist position available within the Department of Psychology… more
- Molina Healthcare (San Francisco, CA)
- …Management ( UM ), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM) and monitors key clinical staff ... California residents preferred.** Out of state candidates must be licensed for CA and must be willing to support...for clinical gaps in care from a medical and/or behavioral perspective to ensure member needs are being met.… more
- LA Care Health Plan (Los Angeles, CA)
- …Management ( UM ), Managed Long Term Services and Support (MLTSS), Social Services, Behavioral Health , Community Health , Health Education, as well ... to clinically analyze the most complex cases involving highly acute physical health , behavioral health , complex/catastrophic and/or psychosocial issues to… more
- Molina Healthcare (FL)
- …Extend scope to more fully include related areas besides 'Medical/Clinical', for example Behavioral Health , Long Term Care. + Assist in proposing and ... will work closely with Molina enterprise Clinical Operations and Health Plan healthcare services leaders, and Medical Economics and...Plans. + Collaborate with other clinical COE leaders (Quality, UM , CM, BH, LTSS). + Lead teams in identifying,… more
- Compass Group, North America (Miami, FL)
- …or UMHC Sylvester services as the diagnosis, treatment, and research hub for the UM health system. + Bascom Palmer Eye Institute serves as the Department ... platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier… more
- University of Michigan (Ann Arbor, MI)
- …Psychiatry) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and communities through excellence in education, ... Specific Info** Michigan Medicine is one of the largest health care complexes in the world and has been...Nurses: Selected GN must successfully pass N-CLEX and be licensed as a RN in the state of Michigan… more
- Healthfirst (NY)
- …Care Management: + Associates degree + NYS RN + LCSW or LMSW (any state) + For Behavioral Health (BH) Care Management + Associates degree + NYS RN or + LCSW, ... LMSW, LMFT, LMHC, LPC, or licensed psychologist (any state) + For Peds Positions Only:...Adept at planning, organizing, and executing + Knowledge of health insurance, Medicaid, Medicare and MLTCP + Care management… more