- Molina Healthcare (Fort Worth, TX)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... interdepartmental integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Care for Molina members. + Ensures… more
- BrightSpring Health Services (Houston, TX)
- …pharmacy, home health care and primary care, and rehabilitation and behavioral health , we provide comprehensive and more integrated care and clinical ... Our Company BrightSpring Health Services Overview Travels to locations within area of responsibility to evaluate process, delivery of care and interpret Company… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …Additional applications will be referred as needed. GS-11: Conducts mental health assessments to diagnose conditions and develop treatment plans. Provides ... psychotherapy using evidence-based methods. Serves as a primary mental health provider for veterans, ensuring effective treatment. Collaborates with… more
- Elevance Health (Houston, TX)
- …law._ The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... state or territory of the United States when conducting utilization review or an appeals consideration and cannot be..._For Health Solutions and Carelon organizations (including behavioral health ) only, a minimum of 5… more
- Elevance Health (Corpus Christi, TX)
- …the member's circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable ... tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk… more
- CVS Health (Austin, TX)
- …years of Administrative and Customer Support work experience in healthcare and/or behavioral health field. + Advanced proficiency with technology including ... At CVS Health , we're building a world of health...EAP On-Site Counseling Program, ensuring customer satisfaction and successful utilization of the EAP On-Site product, services, and solutions.… more
- Highmark Health (Austin, TX)
- …including gathering data from multiple sources related to Benefit/Claim Utilization , Enrollment, Networks ( utilization , disruption, geo-access) and making ... of their data analysis.This includes benefits design analysis based on benefit utilization while factoring in financial analysis to determine cost impact. +… more
- Elevance Health (TX)
- …care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. + Uses motivational ... or clinical assessments to identify individual member knowledge, skills and behavioral needs. + Identifies and/or coordinates specific health coaching plan… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- Texas Health Resources (Plano, TX)
- …cardiology, neurosurgery and spine, advanced orthopedics, women's services, adult and adolescent behavioral health , an adult intensive care unit and state of ... Endo/GI Lab (Full Time/Days)** _Bring your passion for Texas Health So We Are Better + Together_ **Work location:**...on-call schedule for technicians . Manages block schedule and utilization . Prepares and reviews utilization reports… more