• Behavioral Health Utilization

    Common Ground (Flint, MI)
    Exciting Career Opportunity! The Behavioral Health Utilization Management (UM) Specialist is responsible for reviewing and evaluating mental health and ... - $34.00 per hour, plus applicable shift differential. Key Responsibilities + Conduct utilization reviews for behavioral health services including inpatient,… more
    Common Ground (10/17/25)
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  • Behavioral Health Utilization

    Actalent (Sunrise, FL)
    Actalent is Hiring a Behavioral Health Utilization Review Nurse Job Description We are seeking a dedicated Utilization Management Nurse (UMN) who will ... and present reports on department activities as assigned. Essential Skills + Utilization management + Behavioral Health + Mental Health + Clinical review… more
    Actalent (10/15/25)
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  • Behavioral Health Utilization

    Actalent (Sunrise, FL)
    Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests ... on department activities as assigned. Essential Skills + Experience in utilization management, behavioral health , and mental health . + Proficiency… more
    Actalent (10/10/25)
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  • Senior Director, Behavioral Health

    Centene Corporation (Tallahassee, FL)
    …**: LCSW, LMHC, LPC, LMFT, or LMHP.** **Position Purpose:** Leads and directs the behavioral health (BH) utilization management team to ensure appropriate ... to the development, implementation, monitoring, and ongoing improvement of the behavioral health (BH) utilization management process + Provides BH senior… more
    Centene Corporation (10/19/25)
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  • Behavioral Health Intake…

    Charter Care Health Partners (Providence, RI)
    Summary: The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management, reviewing intake assessments, verifying clinical ... Minimum 2-3 years of experience in behavioral health , preferably in intake or utilization review roles. License: RI RN License required. Skills and… more
    Charter Care Health Partners (10/21/25)
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  • Utilization Review Clinician…

    Centene Corporation (Atlanta, GA)
    …Time Zone hours.** **The ideal candidate will have experience in behavioral health utilization management.** **Education/Experience:** Requires Graduate ... regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall...health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process… more
    Centene Corporation (10/10/25)
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  • Behavioral Health Utilization

    CVS Health (Oklahoma City, OK)
    …+ Managed care/ utilization review experience preferred + Experience in a behavioral health inpatient setting + Ability to multitask, prioritize and ... every day. **_Work at home Position-Must Reside in Oklahoma_** **Position Summary: Behavioral Health Clinical Reviewer (LCSW, LCPC, RN)** Licensed clinical… more
    CVS Health (10/18/25)
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  • Temporary Behavioral Health

    CDPHP (Latham, NY)
    …with hospitalizations and focused on helping members who are hospitalized with behavioral health needs. This includes members admitted to psychiatric units, ... York State license is required) + In lieu of behavioral health license, Registered Nurse with valid...a hospital setting required. + Minimum one (1) year quality/ utilization management experience in health care setting… more
    CDPHP (10/16/25)
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  • Behavioral Health Consultant-RN…

    WellSpan Health (York, PA)
    …to Behavioral Health . Performs a variety of reviews and applies Behavioral Health utilization and consultative services to determine the most ... efficient use of resources to support the behavioral health care goal of appropriate, cost...needs. + Assists with the collection and analysis of utilization patterns. + Brings known or suspected problems of… more
    WellSpan Health (09/05/25)
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  • Medical Director, Behavioral Health

    Molina Healthcare (Davenport, IA)
    …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
    Molina Healthcare (10/18/25)
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