- Centene Corporation (Salem, OR)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... of physician education with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends in utilization … more
- OLV Human Services (Lackawanna, NY)
- …electronic health record (EHR) for documentation of services rendered. + Review utilization and service provision with supervisor + Coordinate and ... Required: At least 2 years of experience in children's Mental Health , Behavioral Health , foster care, or related field License/Registration/ Certifications… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- … management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review , quality ... of physician education with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends in utilization … more
- CVS Health (Springfield, IL)
- …field. Work Experience: + Minimum of 3-5 years of clinical experience, preferably in behavioral health . + Minimum of 2-3 years of experience in case management, ... At CVS Health , we're building a world of health...+ Case management and discharge planning experience. + Managed care/ utilization review experience. + Crisis intervention skills.… more
- CareFirst (Baltimore, MD)
- …5 years clinically related experience working in Care Management, Discharge Coordination, Home Health , Utilization Review , Disease Management or other direct ... **Resp & Qualifications** **PURPOSE** : This Behavioral Health Care Manager will support...member's medical, behavioral and/or social determinant of health needs. Engage members and providers to review… more
- Veterans Affairs, Veterans Health Administration (Chesapeake, VA)
- …Care Network (VISN 6), Hampton (HVAMC).This position is aligned under the Behavioral Health Interdisciplinary Program (BHIP)/Outpatient Services and will serve ... Summary This position is located within the Veterans Health Administration (VHA), VA Mid-Atlantic Health … more
- Molina Healthcare (Reno, NV)
- …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
- BriteLife Recovery (Hanover, PA)
- "PRN" BEHAVIORAL HEALTH TECHNICIAN/DRIVER Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team ... best, most talented and caring, authentic individuals to create a world-class mission-centered behavioral health organization, focused on doing it the right way… more
- BriteLife Recovery (Hanover, PA)
- BEHAVIORAL HEALTH TECHNICIAN/DRIVER Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team ... best, most talented and caring, authentic individuals to create a world-class mission-centered behavioral health organization, focused on doing it the right way… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Case Manager - Behavioral Health Location: Remote Career Area: Health Services About ... with current MN license and with no restrictions or Behavioral Health Professional that is Clinician licensed...* 1+ years of managed care experience; eg case management/ health coach, utilization management and/or auditing experience.… more