- CVS Health (Arlington, TX)
- …And we do it all with heart, each and every day. **Clinical Case Manager Behavioral Health ** **Position Summary** This is a remote role, requiring 75% travel to ... + Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate… more
- CVS Health (Austin, TX)
- …is a remote based (work from home) role.** In this role has Medical Director ( Behavioral Health ) you will: * Provide comprehensive behavioral health ... practice guidelines and new technology assessments * Confer with behavioral health practitioners regarding the care of...managed care, as a provider and manager of care utilization review or physician advisor experience. **Education**… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …Suicide Risk management, etc.) and work collaboratively to address the same. Participates in review of behavioral health processes and procedures within the ... Office of the Deputy Assistant Director of Clinical Services, Behavioral Health Unit (BHU). This position is...identified as having a serious mental illness using Mental Health Review form (IHSC-883). Works in conjunction… 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
- Molina Healthcare (Fort Worth, TX)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review , and/or other utilization management… more
- Molina Healthcare (TX)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... disorders. * Approves prior authorization requests for BHT treatment by reviewing Behavioral Health Therapy (BHT) assessments and treatment plans for medical… more
- Molina Healthcare (TX)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in the state of Texas. You will be hired to join the inpatient review team doing ... facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need… more
- Molina Healthcare (Fort Worth, TX)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Experience Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more