- Centene Corporation (Austin, TX)
- …requires On Call Rotations for Holidays and Weekends** **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure ... day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with… more
- Centene Corporation (Austin, TX)
- …disorders experience is required. + Direct experience with Utilization Review or Utilization Management related to Behavioral Health case is preferred + ... and/or SUD inpatient hospital experience is preferred + Experience in Behavioral Health Case Management or Utilization Management in Managed Care… more
- Centene Corporation (Austin, TX)
- …28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive ... year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- Elevance Health (Grand Prairie, TX)
- …abuse cases preferred. **Preferred Skills, Capabilities and Experiences:** + Experience in behavioral health utilization management is highly preferred. + ... Behavioral Health Care Manager I- ... Behavioral Health Care Manager I- Behavioral ...there is licensed staff supervision. Previous experience in case management/ utilization management with a broad range of experience with… more
- Molina Healthcare (San Antonio, TX)
- …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
- Centene Corporation (Austin, TX)
- … Health goals for the product. + Take a macro-level view of behavioral health utilization management responsibilities to optimize clinical resource ... Purpose:** Provides strategic and clinical leadership for Behavioral Health across all clinical functions ( Utilization Management, Care Management,… more
- Molina Healthcare (San Antonio, TX)
- …most effective setting while contributing to enterprise-wide strategies for integrated behavioral health programs, utilization management standardization, ... expertise for utilization management, case management, and integrated behavioral health /chemical dependency programs; collaborates with regional and… more
- Centene Corporation (Austin, TX)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... licensure as outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review… 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