- CVS Health (Harrisburg, PA)
- …clinically appropriate treatment, evidence based care an clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. - ... **Required Qualifications** - One of the following is required: Unencumbered Master's Level Behavioral Health clinical license in the state where they work… more
- CVS Health (Indianapolis, IN)
- …**EST or CST residents preferred due to region of members.** **As a UM Clinician Behavioral Health you will:** + Utilize clinical experience and skills in a ... with clients with an Autism Diagnosis + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in… more
- Centene Corporation (Austin, TX)
- …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
- Humana (Indianapolis, IN)
- …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
- Molina Healthcare (Dayton, OH)
- …professionals in some or all of the following functions: care management, utilization management, behavioral health , care transitions, long-term services ... * Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with… more
- Johns Hopkins University (Baltimore, MD)
- …enrollment and appointments for specialty substance use services and behavioral health care. + Manage tracking and utilization of resources. + Register ... Young Adult Medicine is seeking a full time **_Substance Use & Behavioral Health Linkage_** . Under the direct supervision of the Co-Principal Investigators and… more
- 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
- CVS Health (Austin, TX)
- …applicants whose only acute care experience is in behavioral health ) **Preferred Qualifications** + 1+ years' experience Utilization Review experience ... At CVS Health , we're building a world of health...Job Description Primary Job Duties & Responsibilities Drives effective utilization management practices by ensuring appropriate and cost-effective allocation… more
- MVP Health Care (Rochester, NY)
- …For in New York** , and an **Inclusive Workplace** . The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental ... improvement. To achieve this, we're looking for a **Professional, Behavioral Health ** to join #TeamMVP. If you...with at least 2 years being ASD related + Utilization or Case Management experience in a managed care… more
- Adecco US, Inc. (Minneapolis, MN)
- …rationale, and alternative treatment options. * Assist callers routed to the Behavioral Health Utilization Management department and resolve escalated ... of providers and members for all authorization requests. * Input and prepare Behavioral Health and Substance Use Disorder authorizations across all lines of… more