- Molina Healthcare (Austin, TX)
- …and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical ... dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... access the full range of their benefits through the utilization review process. + Conducts admission reviews....degree such as nursing, social work, psychology, health information management or other related healthcare field is preferred or… more
- CenterWell (Austin, TX)
- …clinical experience. + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Intelligence + ... - unrestricted + Experience with Home Health preferred + Previous experience in utilization management within Insurance industry a plus + Previous Medicare… more
- CenterWell (Austin, TX)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
- Prime Healthcare (Weslaco, TX)
- …Us! (https://careers-primehealthcare.icims.com/jobs/233537/registered-nurse-case-manager utilization - management ... call ### or visit www.KnappMed.org Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the… more
- Humana (Austin, TX)
- …management + Utilization management experience in a medical management review organization, such as Medicare Advantage and managed Medicaid + ... quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Immigration and Customs Enforcement (Port Isabel, TX)
- …management , etc.) and work collaboratively to address the same. Participates in review of behavioral health processes and procedures within the facility; ... health-related specialized needs related to the care of detained non-citizens. Behavioral Health Case Management Facilitates referral to psychiatric… more
- Immigration and Customs Enforcement (Houston, TX)
- … health provider peer reviews to include completion and dissemination of peer review reports to IHSC behavioral health unit administration for program and ... Summary The Supervisory Behavioral Health Provider oversees clinical performance, program evaluations, and behavioral health services at ICE detention… more
- Molina Healthcare (Fort Worth, TX)
- …Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health ... assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more
- Molina Healthcare (TX)
- … management , care coordination, transitions of care, utilization management (prior-authorization, inpatient review ), behavioral health, long-term ... professionals, in some or all of the following functions: utilization management , care management , care transitions, behavioral health, long-term… more
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