- Tenet Healthcare (Detroit, MI)
- …: Minimum Qualifications BSN preferred. At least two (2) years acute hospital or Behavioral Health patient care experience required. One (1) year hospital acute ... facilitate effective resource coordination to help patients achieve optimal health , access to care and appropriate utilization ...or behavioral health case management experience preferred. Active… more
- McLaren Health Care (Pontiac, MI)
- …staff. Assists in the coordination of patient care through the appropriate utilization of all resources; staff, equipment, supplies, etc. **Essential Functions and ... responsibility for assigned unit/units in collaboration with the assigned clinical manager . 2. Promotes collaboration regarding patient care issues with various… more
- Elevance Health (Indianapolis, IN)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... ** Utilization Management Medical Director - Indiana Medicaid** **Location:**...IN Medicaid members. Responsible for the administration of physical health medical services, to ensure the appropriate and most… more
- Molina Healthcare (ID)
- …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
- Virtua Health (Mount Holly, NC)
- At Virtua Health , we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to ... or something in-between - we are your partner in health devoted to building a healthier community. If you...needs, monitors the length of stay and promotes efficient utilization of resources. Acts as a clinical expert and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …case management, or utilization review setting + Strong understanding of behavioral health diagnoses, treatments, and psychotropic medications + Knowledge of ... Position is On-Site The Behavioral Health Nurse - Managed Care...Participate in interdisciplinary case rounds, quality improvement initiatives, and utilization review processes. + Support members during transitions of… more
- Elevance Health (Winston Salem, NC)
- …terminology training and experience in medical or insurance field preferred. + Behavioral health medical terminology strongly preferred. + For URAC accredited ... ** Utilization Management Representative I** **Location** : This role...skills, and analytical skills. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- CVS Health (LA)
- …is a remote-based (work from home) role. In this role as Medical Director ( Behavioral Health ), you will: * Provide leadership and day-to-day physician oversight ... practice guidelines and new technology assessments * Confer with behavioral health practitioners regarding the care of...* Experience with managed care, as a provider and manager of care utilization review or physician… more
- Elevance Health (Norfolk, VA)
- ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Monday - Friday. Half day Saturday rotation, once a month.** The ** Behavioral Health Medical Director-Psychiatrist Appeals** is responsible for the… more
- Elevance Health (Costa Mesa, CA)
- ** Behavioral Health Medical Director - Psychiatrist - California (Part-time)** **Location:** This role enables associates to work virtually full-time, with the ... Part-time 20 hours a week. West coast hours. The ** Behavioral Health Medical Director** is responsible for...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more