- 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 ... problems to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and… more
- Molina Healthcare (Austin, TX)
- …dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to ... -related regional medical necessity reviews and cross coverage. * Standardizes behavioral health -related utilization management, quality, and financial… more
- Immigration and Customs Enforcement (Port Isabel, TX)
- …Suicide Risk management, etc.) and work collaboratively to address the same. Participates in review of behavioral health processes and procedures within the ... Summary The Supervisory Behavioral Health Provider oversees behavioral...identified as having a serious mental illness using Mental Health Review form (IHSC-883). Works in conjunction… more
- Humana (Austin, TX)
- …care management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and ... part of our caring community and help us put health first** The Behavioral Health ...insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review… more
- Elevance Health (Houston, TX)
- ** Behavioral Health Medical** **Director-Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... The **Medical Director** is responsible for the administration of behavioral health medical services, to ensure the...state or territory of the United States when conducting utilization review or an appeals consideration and… 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 ... Summary The Supervisory Behavioral Health Provider oversees clinical performance,...identified as having a serious mental illness using Mental Health Review form (IHSC-883). Works in conjunction… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- CenterWell (Austin, TX)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN...medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part… more
- CenterWell (Austin, TX)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Healthcare isn't just about health ...medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part… more
- Health Care Service Corporation (Richardson, TX)
- …A Board Certified Psychiatrist Responsible For Medical Necessity Determinations With Respect To Behavioral Health Disorders At All Levels Of Care Which Includes ... Such As Providers, Regulatory Bodies, Members And Customers. Directing The Inclusion Of Behavioral Health Expertise At All Levels Of The Program And Throughout… more
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