- Humana (Little Rock, AR)
- …caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health ... services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are varied and… more
- Centene Corporation (Austin, TX)
- …requires On Call Rotations for Holidays and Weekends** **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure ... everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team....of BH utilization management team. + Monitors behavioral health (BH) utilization review… more
- Centene Corporation (Austin, TX)
- …disorders experience is required. + Direct experience with Utilization Review or Utilization Management related to Behavioral Health case is preferred + ... everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team....SUD inpatient hospital experience is preferred + Experience in Behavioral Health Case Management or Utilization… more
- Elevance Health (CA)
- ** Behavioral Health Care Manager I, Utilization Management** **Work Hours M-F 8am-5pm PST** **Work Location: Virtual, California** This role enables ... an accommodation is granted as required by law. The ** Behavioral Health Care Manager I, Utilization...LPC LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… more
- Centene Corporation (Springfield, IL)
- …combination of (3) experience in various mental health settings especially inpatient behavioral health units, utilization management / review, and youth ... Former Youth-In-Care members, ages 0-21 receiving inpatient and outpatient behavioral health services. **Preference will be given...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Centene Corporation (Austin, TX)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, ... year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time… more
- UnityPoint Health (Cedar Rapids, IA)
- …site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in coordinating ... the department's interdisciplinary effort to assess and promote appropriate utilization of health care resources, provision of...State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional… more
- CVS Health (Austin, TX)
- …applicants whose only acute care experience is in behavioral health ) **Preferred Qualifications** + 1+ years' experience Utilization Review experience ... At CVS Health , we're building a world of health...Job Description Primary Job Duties & Responsibilities Drives effective utilization management practices by ensuring appropriate and cost-effective allocation… more
- Tenet Healthcare (Detroit, MI)
- …: Minimum Qualifications BSN preferred. At least two (2) years acute hospital or Behavioral Health patient care experience required. One (1) year hospital acute ... we provide a comprehensive benefit package that prioritizes your health , professional development, and work-life balance. The...or behavioral health case management experience preferred. Active… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …** Utilization Management Coordinator** utilizes clinical knowledge and understanding of behavioral health resource management to review and coordinate the ... ACCESS center staff and PFS department to ensure appropriate utilization of resources and benefits on a case by...+ Minimum five years of clinical experience in a behavioral health care setting. + Excellent written… more
- LifeCenter Northwest (Bellevue, WA)
- …Position Type Full Time Description and Qualifications The Manager, Organ Utilization (OUM) provides strategic leadership and operational oversight for the Organ ... Utilization Coordinator Team (OUCT), directing key aspects of abdominal...mentor team members through constructive feedback, skill development, and professional growth opportunities. + Conduct regular performance evaluations, set… more
- Saint Francis Health System (Tulsa, OK)
- …matching the level of care utilization . Assures compliance with Managed Care Behavioral Health standards in the area of UM procedures and documentation to ... therefrom or Master's degree in Social Work, Counseling or related behavioral health field. Licensure, Registration and/or Certification: Valid multi-state… more
- State of Indiana (Indianapolis, IN)
- …+ Referral Bonus program + Employee assistance program that allows for covered behavioral health visits + Qualified employer for the Public Service Loan ... through access to high quality care and services. You serve as the utilization management subject-matter expert in health care delivery, develops utilization… more
- AmeriHealth Caritas (Washington, DC)
- …Medical Director for further review. The reviewer independently applies medical and behavioral health guidelines to authorize services, ensuring they meet the ... managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover… more
- Elevance Health (Indianapolis, IN)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... ** Utilization Management Medical Director - Indiana Medicaid** **Location:**...IN Medicaid members. Responsible for the administration of physical health medical services, to ensure the appropriate and most… more
- Banner Health (Scottsdale, AZ)
- …Shift:** Day **Job Category:** Clinical Care For more than 30 years, Banner Behavioral Health Hospital has provided a nationally recognized, behavioral ... program for children, teens and adults faced with psychiatric, behavioral health , or chemical dependency challenges. We...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
- Banner Health (Glendale, AZ)
- …want to be part of, we want to hear from you. Bring your passion for Behavioral Health to **Banner Thunderbird Medical Center- BTMC!** Our Behavioral ... mental health diagnoses as well as those behavioral health patients whom have co-morbidities that...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
- Elevance Health (Atlanta, GA)
- …abuse cases preferred. **Preferred Skills, Capabilities and Experiences:** + Experience in behavioral health utilization management is highly preferred. + ... Behavioral Health Care Manager I- ...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… more
- Centene Corporation (Phoenix, AZ)
- …to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards ... everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team....licensure as outlined by the applicable state (BCBA) required. Behavioral health clinical knowledge and ability to… more
- Molina Healthcare (Grand Rapids, MI)
- …dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to ... -related regional medical necessity reviews and cross coverage. * Standardizes behavioral health -related utilization management, quality, and financial… more