• LCSW/LMFT - Orange County

    Amergis (Orange, CA)
    …responsible for reviewing and processing requests for authorization and notification of behavioral health services from health professionals, clinical ... Utilization management reviewer experience. + Managed care experience. + Behavioral health clinical experience. Required Licensure / Certifications: +… more
    Amergis (11/05/25)
    - Related Jobs

  • Administrative Director Emergency Services

    HCA Healthcare (Pensacola, FL)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... only comprehensive CARF-accredited physical rehabilitation hospital. Our facility has a behavioral health facility. We offer services including cardiology,… more
    HCA Healthcare (10/30/25)
    - Related Jobs

  • Registered Nurse - Managed Care

    US Tech Solutions (Columbia, SC)
    … Utilization management experience, Prior experience working for a health insurance company and/or with Medicare population, Flexibility, dependability- we are ... Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit… more
    US Tech Solutions (10/29/25)
    - Related Jobs

  • RN Case Manager

    HCA Healthcare (Kissimmee, FL)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... supporting a balance of optimal care and appropriate resource utilization . What you will do in this role: +...Care, Neonatal Intensive Care Unit Level II, Women's Services, Behavioral Health , Orthopedics & Spine, and a… more
    HCA Healthcare (10/18/25)
    - Related Jobs

  • Director Emergency Services

    HCA Healthcare (Kansas City, MO)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... **Benefits** Research Medical Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
    HCA Healthcare (10/13/25)
    - Related Jobs

  • Director of Surgical Services

    HCA Healthcare (Kansas City, MO)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... **Benefits** Research Medical Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
    HCA Healthcare (10/13/25)
    - Related Jobs

  • Managed Care Coordinator

    US Tech Solutions (Columbia, SC)
    …10% Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit ... would like in this role: Employee will be providing telephonic case management and utilization management for our members. The expectation is to manage a caseload of… more
    US Tech Solutions (10/11/25)
    - Related Jobs

  • Program Supervisor

    Sevita (Tucson, AZ)
    …program including delivery of supports, implementation of person-centered plans, health care, advocacy, customer engagement, regulatory compliance and when ... submits initial incident reports to the Program Director. 8. Billing and Utilization : Compiles or accumulates census or attendance information; reviews data and… more
    Sevita (10/28/25)
    - Related Jobs

  • Manager - Care Management

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …relations and cost control. Required Skills and Experience * Registered nurse or licensed behavioral health clinician (ie, LICSW, LPCC, LMFT, LP) with current MN ... and Experience * 5 years' experience within insurance or health care setting in case/disease or utilization ...or health care setting in case/disease or utilization management * Bachelor's or Master's degree in … more
    Blue Cross and Blue Shield of Minnesota (10/16/25)
    - Related Jobs

  • Emergency Department Throughput PI Manager

    HCA Healthcare (Overland Park, KS)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... you as an Emergency Department Throughput Performance Improvement Manager? At HCA Midwest Health , you come first. HCA Healthcare has committed up to $300 million in… more
    HCA Healthcare (08/26/25)
    - Related Jobs