- Elevance Health (Cerritos, CA)
- ** Behavioral Health Care Manager II, UM ** **Location:** California **Virtual:** This role enables associates to work virtually full-time, with the exception ... hours** : 8:30 am - 5:00 pm PST The ** Behavioral Health Care Manager II** is responsible...LPC LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… more
- Highmark Health (Harrisburg, PA)
- …effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource ... utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …The **Utilization Management Coordinator** utilizes clinical knowledge and understanding of behavioral health resource management to review and coordinate the ... + Minimum five years of clinical experience in a behavioral health care setting. + Excellent written...+ Master's Degree. Licenses and Certifications Preferred: NJ State Professional Registered Nurse License or NJ Licensed Social Worker.… more
- Point32Health (MA)
- …. **Job Summary** Under the supervision of the Utilization Management Supervisor, the Behavioral Health (BH) Utilization Management ( UM ) Clinician is ... Enterprise contract requirements. The BH UM Clinician works collaboratively with the Behavioral Health leadership within the Behavioral Health … more
- Elevance Health (Las Vegas, NV)
- ** Behavioral Health Care Manager II - ABA**...a LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in ... the Elevance Health family of companies, **Carelon Behavioral Health ** , offers superior clinical mental...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral… more
- Elevance Health (Winston Salem, NC)
- ** Behavioral Health Care Manager I (3rd Shift...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- Elevance Health (Latham, NY)
- Behavioral Health Care Manager I- BH Care...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in ... for employment, unless an accommodation is granted as required by law. The ** Behavioral Health Care Manager I** is responsible for managing psychiatric and… more
- Elevance Health (NC)
- ** Behavioral Health Care Manager I - (Day...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- Elevance Health (Morristown, NJ)
- ** Behavioral Health Care Manager I -...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure ... of medical benefits, including medical management. **Hours: 8am-5pm (Local time)** The ** Behavioral Health Care Manager I** is responsible for managing adult… more
- Elevance Health (Los Angeles, CA)
- ** Behavioral Health - Care Manager II**...LMFT RN or Clinical Psychologist to practice as a health professional within the scope of licensure ... an accommodation is granted as required by law. The ** Behavioral Health - Care Manager II** is...responsible for managing psychiatric or autism facility-based and outpatient professional treatment health benefits through telephonic or… more
- Elevance Health (Atlanta, GA)
- …for employment, unless an accommodation is granted as required by law._ The Behavioral Health Care Manager I is responsible for managing psychiatric and ... + MA/MS in social work counseling or a related behavioral health field or a degree in...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… more
- Elevance Health (Indianapolis, IN)
- ** Behavioral Health Care Manager II -...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral… more
- Elevance Health (Costa Mesa, CA)
- **JR177558 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...laws) **LMFT** or Clinical Psychologist to practice as a health professional within the scope of licensure… more
- Saint Francis Health System (Tulsa, OK)
- …the level of care utilization. Assures compliance with Managed Care Behavioral Health standards in the area of UM procedures and documentation to permit ... therefrom or Master's degree in Social Work, Counseling or related behavioral health field. Licensure, Registration and/or Certification: Valid multi-state… more
- Magellan Health Services (Albuquerque, NM)
- …Nursing, Bachelor's - Occupational Therapy, Bachelor's - Physical Therapy, Master's - Behavioral Health Education - Preferred License and Certifications - ... meetings as needed. + Audits and reviews case manager, Health guide, UM staff, vendor, and provider...Therapist - Care MgmtCare Mgmt, LMHP - Licensed Mental Health Professional - Care MgmtCare Mgmt, LPC… more
- CVS Health (Tallahassee, FL)
- …other clinical services that are evidence-based. * Work collaboratively with the Behavioral Health , Pharmacy, Member Outreach, Care Management, National Quality ... Utilization Management, Compliance, and other departments to integrate social, behavioral , and physical health and improve clinical...or other presentations (written or oral) that support the health plan in a professional and effective… more
- The Cigna Group (Orlando, FL)
- …the Disney Account Team, Health Coaches, Case Managers, Onsite EAP providers, EACs, Behavioral UM and CM teams to align on cases and hand off appropriately ... Attend all required trainings. + Comply with all Evernorth Behavioral Health policies and Standard Operating Procedures....Health First Aid + CEAP (certified employee assistance professional ) required to obtain within 2 years of employment.… more
- UnityPoint Health (Cedar Rapids, IA)
- … care decision-making. Qualifications + State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional communication - written & ... on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in coordinating… 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
- Elevance Health (Tampa, FL)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... the following Florida Medicare plans: Simply Healthcare Plans, Healthsun Plans, Freedom Health , and Optimum Healthcare Plans and will be responsible for utilization… more
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