- 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
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- 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