• Utilization Management Clinician…

    CVS Health (TX)
    …standard business hours. No nights, weekends or holidays. As a **UM Clinician Behavioral Health ** you will: - Utilize clinical experience and skills in ... management function. **Required Qualifications** - Valid unrestricted independent professional behavioral health clinical license to practice per state… more
    CVS Health (09/23/25)
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  • Medical Director, Behavioral Health

    Molina Healthcare (Houston, TX)
    …chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and… more
    Molina Healthcare (10/03/25)
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  • Clinical Learning Facilitator - Utilization

    Molina Healthcare (Houston, TX)
    …licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One year of ... Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality,… more
    Molina Healthcare (09/17/25)
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  • Healthcare Services Operations Support Auditor

    Molina Healthcare (San Antonio, TX)
    …program(s) proficiency. Preferred Qualifications * Utilization management , care management , behavioral health and/or long-term services and supports ... * At least 2 years health care experience, preferably in utilization management , care management , and/or managed care, or equivalent combination of… more
    Molina Healthcare (09/28/25)
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  • Utilization Management Coordinator-…

    Houston Behavioral Healthcare Hospital (Houston, TX)
    …team at Houston Behavioral Healthcare Hospital strives to be the leaders in Behavioral Health by delivering quality services to those entrusted in our care. ... Houston Behavioral Healthcare Hospital (HBHH) is unique in so...Healthcare Hospital (HBHH) currently has an opening for Part-time Utilization Management Coordinator. The Utilization more
    Houston Behavioral Healthcare Hospital (09/12/25)
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  • Behavioral Health Medical…

    Elevance Health (Grand Prairie, TX)
    ** 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
    Elevance Health (09/10/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Houston, TX)
    ** Behavioral Health Care Manager II** **Virtual** : This role enables associates to work virtually full-time, with the exception of required in-person training ... **Shift** : 12:00 PM - 8:30 PM ET The ** Behavioral Health Care Manager II** is responsible...is licensed staff supervision. + Previous experience in case management / utilization management with a broad… more
    Elevance Health (09/26/25)
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  • Medical Director, Behavioral Health

    Molina Healthcare (Houston, TX)
    …with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization ... **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and... Health function provides leadership and guidance for utilization management and case management more
    Molina Healthcare (09/13/25)
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  • Nursing Supervisor - Behavioral

    Texas Health Resources (Bedford, TX)
    Nursing Supervisor - Behavioral Health _Texas Health Bedford BU - Behavioral Health Unit is looking for a top skilled Nursing Supervisor. Is that ... Team environment that encourages creativity + Great Benefits/401K/PTO + Highly engaged Behavioral Health Leadership Team Education * Associate's Degree Nursing… more
    Texas Health Resources (09/19/25)
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  • Medical Dir Behavioral Hlth

    Health Care Service Corporation (Richardson, TX)
    …+ Board certified in psychiatry in good standing. + 5 years clinical experience in behavioral health care management . + Located in a state or territory ... A Board Certified Psychiatrist Responsible For Medical Necessity Determinations With Respect To Behavioral Health Disorders At All Levels Of Care Which Includes… more
    Health Care Service Corporation (09/27/25)
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