- Centene Corporation (Raleigh, NC)
- …WITH POTENTIAL FOR WEEKEND AND HOLIDAY ROTATIONS**'** MUST HOLD NORTH CAROLINA BEHAVIORAL HEALTH LICENSURE **Position Purpose:** Performs a clinical review and ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
- Elevance Health (Durham, NC)
- ** Utilization Management Medical Director- NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Granville Health System (Oxford, NC)
- …case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; ... one level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients… more
- Elevance Health (Winston Salem, NC)
- ** Behavioral Health Care Manager I (3rd Shift -After Hours) - Bilingual Preferred** **Location - Virtual:** This role enables associates to work virtually ... on holidays as part of a rotating schedule._ The ** Behavioral Health Care Manager I (3rd Shift...Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad… more
- LifePoint Health (Hickory, NC)
- Job Summary The Behavioral Health Clinical Program Therapist functions as a member of the Behavioral Health Team in providing independent practice ... levels of psychiatric care for the patients on the Behavioral Health Units. Provides and documents mental...the psychiatric crisis and the development of healthy mental health management through a biopsychosocial model of… more
- Elevance Health (Durham, NC)
- ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Monday - Friday. Half day Saturday rotation, once a month.** The ** Behavioral Health Medical Director-Psychiatrist Appeals** is responsible for the… more
- Granville Medical Center (Oxford, NC)
- …case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; ... one level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients… more
- UNC Health Care (Smithfield, NC)
- …and well-being of the unique communities we serve. Summary: A Social Worker - Behavioral Health is an integral member of the healthcare team, providing ... and adhere to ethical guidelines **Job Details** Legal Employer: NCHEALTH Entity: Johnston Health Organization Unit: Behavioral Health Admin Work Type: Per… more
- Elevance Health (Morehead City, NC)
- …ensuring fidelity to the CFSP Care Management model which includes physical health , behavioral health , and social services. Primary duties may include, ... access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy,_ _Intellectual/Developmental_ _Disabilities (I/DD)… more
- Elevance Health (Durham, NC)
- …to day clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for ... medical director provides clinical expertise in all aspects of utilization review and case management . Provides input...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
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