- Molina Healthcare (TX)
- …**_Field travel in Detroit, MI_** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management ... health and substance use services and assists with implementing integrated Behavioral Health care management programs. **Job Duties** * Serves as liaison… more
- Devereux Advanced Behavioral Health (League City, TX)
- …This person will lead marketing initiatives and oversee the admissions and utilization management team for our residential treatment program for individuals ... drive referrals. Additionally, the Director will supervise the admissions and utilization management department, ensuring a seamless and compassionate process… more
- Elevance Health (Grand Prairie, TX)
- …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
- CVS Health (Rockwall, TX)
- …experience required. **Preferred Qualifications** - Crisis intervention skills - Managed care/ utilization review experience - Case management and discharge ... experience -StarKids Experience **Education** Minimum of a Bachelor's degree in Behavioral /Mental Health or related field **Anticipated Weekly Hours** 40… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- …your application status. Good Luck & we hope to meet you soon! Georgetown Behavioral Health Institute is an equal opportunity employer and makes employment ... with specific knowledge and skills in areas of risk management , infection control, and utilization review; strong...areas of risk management , infection control, and utilization review; strong oral and written communication skills, current… more
- Centene Corporation (San Antonio, TX)
- …Manages the RN care management team of licensed physical and/or behavioral health clinicians that serve long-term care members with physical/medical ... to long-term care team members to address member concerns related to physical/medical health and/or mental/ behavioral health needs + May perform telephonic,… more
- Elevance Health (Corpus Christi, TX)
- …member's circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable ... associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation… more
- HCA Healthcare (Fort Worth, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Worth, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...projects. + Works cooperatively with physicians to achieve the utilization of the case management plan. +… more
- Elevance Health (TX)
- …law._ The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... an equivalent background. * _For Health Solutions and Carelon organizations (including behavioral health ) only, a minimum of 5 years of experience providing … more
- Baylor Scott & White Health (Dallas, TX)
- …daily activities and staff. They assess and coordinate patient care, including case management , social work, utilization review, and care coordination. The goal ... Mondays).** **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families,...Factors** + Knowledge of care coordination, discharge planning, case management and utilization review. + Knowledge of… more