• Behavioral Health Utilization

    HCA Healthcare (Gainesville, FL)
    …with purpose and integrity. We care like family! Jump-start your career as a Behavioral Health Utilization Review RN MSW today with Parallon. **Benefits** ... Eligibility for benefits may vary by location._** Come join our team as a Behavioral Health Utilization Review RN MSW. We care for our community! Just last… more
    HCA Healthcare (08/15/25)
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  • Behavioral Health Utilization

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …or relocation to Louisiana is preferred for all positions. **POSITION PURPOSE** The Behavioral Health Utilization Reviewer is responsible for conducting ... clinical reviews of behavioral health service requests, claims, and appeals...decisions. + Document clinical decisions and rationale in the utilization management system. + Communicate determinations to providers and… more
    Blue Cross and Blue Shield of Louisiana (08/16/25)
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  • Behavioral Health Professional…

    Humana (Baton Rouge, LA)
    …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
    Humana (08/08/25)
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  • Behavioral Health Clinical Review…

    BlueCross BlueShield of Tennessee (Knoxville, TN)
    …or RN with at least 3 years of hands\-on psychiatric clinical experience? Our Behavioral Health Utilization Management team is looking for a dedicated ... **Join Our Team as a Behavioral Health Clinical Review Manager\!** Are...psychiatric or substance use treatment settings\. Prior experience in utilization management is a plus\. **This is a fully… more
    BlueCross BlueShield of Tennessee (08/16/25)
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  • Utilization Review Clinician…

    Centene Corporation (Salem, OR)
    …disorders experience is required. + Direct experience with Utilization Review or Utilization Management related to Behavioral Health case is preferred + ... in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of… more
    Centene Corporation (08/20/25)
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  • Utilization Review Clinician…

    Centene Corporation (Tallahassee, FL)
    …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... licensure as outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review… more
    Centene Corporation (07/31/25)
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  • Clinician, Central Access Team

    Eastern Connecticut Health Network (Manchester, CT)
    …field is required. EXPERIENCE: + Minimum of ten (10) years of experience in the Behavioral Health field with Utilization Review required. + Must have ... POSITION SUMMARY: This position is responsible for maximizing access to inpatient behavioral health care and patient movement for the Department of Behavioral more
    Eastern Connecticut Health Network (08/02/25)
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  • Behavioral Health Consultant

    Adelante (Phoenix, AZ)
    health issues and providers education to assist with enhancing primary care utilization of behavioral health interventions + Promote a smooth interface ... Behavioral Health Consultant Job Details Job...+ Demonstrate an understanding of facility organizational structure by utilization of appropriate channels of communication. Maintain consistent, timely… more
    Adelante (07/24/25)
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  • Manager, UM Behavioral Health

    Humana (Oklahoma City, OK)
    …part of our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within specific… more
    Humana (08/14/25)
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  • Nurse Manager Behavioral Health

    HCA Healthcare (Dulles, VA)
    …Hospital Center! **Manages the day-to-day operations of the Behavioral Health Nursing Department through effective utilization of self, shift House ... **Introduction** Do you have the career opportunities as a Nurse Manager Behavioral Health you want in your current role? We invest in what matters… more
    HCA Healthcare (08/10/25)
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