• Utilization Management Clinician…

    CVS Health (Frankfort, KY)
    …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... ambulatory care or outpatient clinic/facility. + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations… more
    CVS Health (10/08/25)
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  • Utilization Management Clinician…

    CVS Health (Salt Lake City, UT)
    …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus ... to coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health...+ 3+ years of post clinical licensure experience in behavioral health + 3+ years knowledge of… more
    CVS Health (10/15/25)
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  • Manager, Healthcare Services; Utilization

    Molina Healthcare (GA)
    …professionals in some or all of the following functions: care management, utilization management, behavioral health , care transitions, long-term services ... the following areas: utilization management, care management, care transitions, behavioral health , long-term services and supports (LTSS), or equivalent… more
    Molina Healthcare (09/19/25)
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  • Utilization Management Nurse…

    Omaha Children's Hospital (Omaha, NE)
    …opportunity employer including veterans and people with disabilities. **A Brief Overview** Utilization Management (UM) is a specialty area of Nursing Case Management ... o Appropriately documents all relevant communications in EPIC. + Ensures appropriate utilization of observation and inpatient status from admission to discharge. o… more
    Omaha Children's Hospital (09/05/25)
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  • Behavioral Health Program Manager

    State of Connecticut, Department of Administrative Services (Middletown, CT)
    …Manager (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=1450MP&R1=&R3=) to join their team! The Utilization Review Behavioral Health ... Behavioral Health Program Manager Office/On-Site Recruitment...Manager (UR BHPM) is responsible for oversight of all Utilization Review functions and staff throughout CT Valley Hospital… more
    State of Connecticut, Department of Administrative Services (10/11/25)
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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 (09/24/25)
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  • Chief Psychiatrist - Behavioral

    Humana (Springfield, IL)
    …administration and strategic management of behavioral and physical health services, including Utilization Management (UM), Quality Improvement, and ... health first** The Chief Psychiatrist oversees our behavioral health (BH) clinical program for our...Quality Management (QM) program; and work closely with the Utilization Management (UM) of services and associated appeals related… more
    Humana (08/29/25)
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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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  • Mobile Professional Care Manager (Hybrid)

    UPMC (Jamestown, NY)
    …or a licensed Registered Nurse. + Minimum of 3 years of experience in behavioral health , clinical care, utilization management, home care, discharge ... across the healthcare continuum, working with physicians, case managers, pharmacy, and behavioral health providers. + Provide expert referrals and connect… more
    UPMC (08/30/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Phoenix, AZ)
    …be at the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate, evidence-based care. You'll ... + Apply critical thinking and evidence-based clinical criteria specific to Behavioral Health to evaluate inpatient and outpatient services requiring… more
    CVS Health (10/04/25)
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