- Elevance Health (Tampa, FL)
- …is responsible for managing a team of physical and/or behavioral health practitioners responsible for coordinating member service, utilization , access, care ... management and/or concurrent review to ensure cost effective utilization of health , mental health , and substance abuse services for one or more member… more
- Molina Healthcare (Yonkers, 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 (Norfolk, VA)
- …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...responsible for coordinating cases for precertification and prior authorization review . **How you will make an impact:** + Managing… more
- WellSpan Health (Chambersburg, PA)
- …**Qualifications** **Minimum Education:** + Bachelors Degree In Social Work and Inpatient Behavioral Health may have Bachelor's degree in Psychology and ... services. Required + Masters Degree In social work (or Psychology for inpatient behavioral health ) Preferred **Work Experience:** + 2 years Relevant experience.… more
- CVS Health (Oklahoma City, OK)
- …to identify and address patient needs (eg care team, social work, behavioral health , utilization management, Hard-to-Reach, Central Telehealth, etc.). ... follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and...we looking for?** **Required Qualifications** + Active RN or Behavioral Health (BH) license in good standing… more
- CVS Health (Frankfort, KY)
- …+ Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... care issues through established channels. + Ability to speak to medical and behavioral health professionals to influence appropriate member care. + Utilizes… more
- East Boston Neighborhood Health Center (MA)
- …Locations: 1601 Washington Street Position Summary: Under the direction of the Chief Behavioral Health Officer, the Administrative Director is an agent of change ... who oversees the overall clinical quality and operations for the Department of Behavioral Health our South End location, which includes the Integrated … more
- Centene Corporation (Phoenix, AZ)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Sr Behavioral Health Medical Director to direct and coordinate the medical ... management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality… more
- Elevance Health (OH)
- ** Behavioral Health Care Manager I - (Day Shift)** **Location** **- Virtual:** This role enables associates to work virtually full-time, with the exception of ... + Monday-Friday 9am-6pm EST + Monday-Friday 11am-8pm EST The ** Behavioral Health Care Manager I - (Day...or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review .… more
- Elevance Health (NC)
- ** Behavioral Health Care Manager I - North Carolina** **Sign on Bonus: $3,500** **Location** **- Virtual:** This role enables associates to work virtually ... PM, and Sunday 8:00 AM - 8:00 PM. The ** Behavioral Health Care Manager I - North...or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review .… more