• Staff Psychologist - Pain

    Veterans Affairs, Veterans Health Administration (Omaha, NE)
    …professional advice and consultation in areas related to professional psychology and behavioral health . Knowledge of clinical research literature. Reference: For ... to develop and implement an integrated pain management approach that maximizes the utilization of complementary and integrative health therapies and active pain… more
    Veterans Affairs, Veterans Health Administration (10/30/25)
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  • Mgr Comprehensive Care RN

    Baylor Scott & White Health (Temple, TX)
    …coordinating patient care across the continuum to include case management, social work, utilization review and care coordination to achieve optimal clinical and ... problem solving related to care coordination, discharge planning, case management and utilization review . Monitors processes and systems to ensure efficient… more
    Baylor Scott & White Health (12/04/25)
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  • Transplant Care Nurse (Remote)

    Highmark Health (Harrisburg, PA)
    …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member… more
    Highmark Health (12/04/25)
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  • Licensed Professional Mental Health

    Veterans Affairs, Veterans Health Administration (Temple, TX)
    …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... and interactional patterns within the client system. This includes the utilization of testing measures where appropriate. -Provides counseling and/or psychotherapy… more
    Veterans Affairs, Veterans Health Administration (11/07/25)
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  • Medical Director - Dsnp/MMP

    CVS Health (Tallahassee, FL)
    …other clinical services that are evidence-based. * Work collaboratively with the Behavioral Health , Pharmacy, Member Outreach, Care Management, National Quality ... to improve health outcomes. * Leverage extensive knowledge of health care delivery system, utilization management, reimbursement methods and treatment… more
    CVS Health (11/21/25)
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  • Crisis Intervention Specialist I (Full-time Days)

    St. Luke's University Health Network (Sellersville, PA)
    health /crisis intervention experience required. Previous experience with case management/ utilization review and managed care models preferred. Please ... assists other hospital services or external customers, in accessing the network Behavioral Health Services. JOB DUTIES AND RESPONSIBILITIES: + Conducts intake… more
    St. Luke's University Health Network (10/13/25)
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  • RN, Inpatient Case Manager - Jefferson - Sign…

    Highmark Health (Jefferson Hills, PA)
    …including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This...engages patients/caregivers in their healthcare, and supports effective resource utilization . Serves as key team members in the management… more
    Highmark Health (12/12/25)
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  • Mental Health Program Specialist 2, Central…

    New York State Civil Service (Albany, NY)
    …and Integrated Outpatient Services. In addition, the Unit supports Certified Community Behavioral Health Clinics and other integrated care programming. Under the ... NY HELP Yes Agency Mental Health , Office of Title Mental Health ...in a clinical capacity, as well as experience with utilization management and/or utilization review .… more
    New York State Civil Service (12/09/25)
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  • Licensed Manager I Care Management (Guilford Co)…

    Elevance Health (Greensboro, NC)
    …access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy,_ _Intellectual/Developmental_ _Disabilities (I/DD) ... to the CFSP Care Management model which includes physical health , behavioral health , and social...include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members,… more
    Elevance Health (12/10/25)
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  • Care Coordinator I or II

    Sea Mar Community Health Centers (Olympia, WA)
    …services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and ... morning huddles to anticipate the patient's clinical, social and behavioral health needs. + Work with the...Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization more
    Sea Mar Community Health Centers (12/05/25)
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