• Medical Services Coordination Specialist I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    …Coordination Specialist provides administrative support for any of the programs of Utilization Management, Behavioral Health , Quality Management, or Member ... specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims, and the referral… more
    Excellus BlueCross BlueShield (10/21/25)
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  • Managed Long Term Services and Supports…

    LA Care Health Plan (Los Angeles, CA)
    …orientation for MLTSS, Customer Solution Center, Social Services, Behavioral Health , Disease Management, Case Management and Utilization Management as ... (Mid.) - $75,324.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We… more
    LA Care Health Plan (10/13/25)
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  • Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …Sharp Health Plan's (SHP) physicians (Medical Directors (both medical and behavioral health ) and the Physician Reviewers) to coordinate the necessary ... co-management of our members related to their medical, behavioral health and pharmacy needs. This position also provides the physician cohesive collaboration… more
    Sharp HealthCare (10/18/25)
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  • Unit Mgr - Psychiatric

    UnityPoint Health (Des Moines, IA)
    + Area of Interest: Behavioral Health Services + FTE/Hours per pay period: 1.0 + Department: Care Coordination- Behavioral + Shift: M-F 8am-4:30pm + Job ID: ... 171732 Overview The Behavioral Health Care Manager integrates the care...a fulfilling career and make a difference with UnityPoint Health . Responsibilities Utilization Management: Addresses and monitors… more
    UnityPoint Health (09/26/25)
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  • Case Manager-RN - Good Samaritan Hospital - Days

    WellSpan Health (Lebanon, PA)
    …providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. ... continuum of care through our extensive WellSpan primary, specialty, ambulatory, and behavioral health care locations within the community. WellSpan Good… more
    WellSpan Health (10/15/25)
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  • Case Manager RN - Evangelical - Days

    WellSpan Health (Lewisburg, PA)
    …providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. ... **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most...and the provision of appropriate, cost effective and quality health care. Works in a team model with social… more
    WellSpan Health (10/17/25)
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  • Medical Director, Ventura County Health…

    Ventura County (Ventura, CA)
    …24 primary care clinics, 11 specialty care clinics, Ambulatory Care, the Public Health Department, the Behavioral Health Department, and the Ventura ... policies. Coordinates and communicates matters of VCHCP medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management… more
    Ventura County (09/12/25)
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  • Mental Health Therapist

    UnityPoint Health (Des Moines, IA)
    + Area of Interest: Behavioral Health Services + FTE/Hours per pay period: 1.0 + Department: Care Coordination- Behavioral + Shift: Five 8-hour days from ... Job ID: 168665 Overview As a member of the behavioral health care management team, this position...to include: clinical needs, barriers to quality care, effective utilization of resources and pursues referrals in timely manner.… more
    UnityPoint Health (07/23/25)
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  • Community Health Worker

    Commonwealth Care Alliance (Springfield, MA)
    …team for care delivery and care coordination for the most complex medical and behavioral health patients. The CHW participates in aiding the patients around all ... reducing gaps in preventive care interventions, optimize patients' engagement with primary care, behavioral health , and substance use services. The CHW will play… more
    Commonwealth Care Alliance (10/08/25)
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  • Mental Health Associate

    UnityPoint Health (Cedar Rapids, IA)
    …and utilization review procedures. + Provides consultation regarding Behavioral Health issues as needed to other hospital staff/departments. ... + Area of Interest: Behavioral Health Services + FTE/Hours per pay period: 0.9 + Department: General Behavioral /2E + Shift: 36 Hours Per Week - 0700-1930 +… more
    UnityPoint Health (10/07/25)
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