- 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 (Rochester, NY)
- …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
- Elevance Health (Los Angeles, CA)
- …all levels of care with an emphasis on Outpatient Providers. + Performs timely Behavioral Health utilization reviews. + Work with multidisciplinary teams to ... ** Behavioral Health Care Manager II** Responsible...organizational skills. + Prior experience in case management and utilization management, particularly with complex psychiatric and substance abuse… more
- Spectrum Billing Solutions (Skokie, IL)
- …Strong computer skills (Word, Excel, billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | ... Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing Specialist #UtilizationReviewSpecialist | #UtilizationManagementSpecialist… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …motivated professionals? If you answered YES, then consider joining our Devereux Advanced Behavioral Health team! Being a Utilization Review Specialist at ... your passion for helping individuals in need. Devereux's Children Behavioral Health Center (DCBHC) is currently seeking a Utilization Review Specialist to… more
- Elevance Health (Grand Prairie, TX)
- …or related field and a minimum of 3 years experience in quality improvement and/or behavioral health , risk management and/or utilization review in a managed ... **JR167284 Behavioral Health Clinical Quality Audit Analyst, Sr** Responsible for maintaining crisis accreditation and developing, delivering and evaluating… more
- 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 (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
- 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
- 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