- CenterWell (San Juan, PR)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN...medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part… more
- CenterWell (Austin, TX)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Healthcare isn't just about health ...medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part… more
- Immigration and Customs Enforcement (Washington, DC)
- …Perform other duties and responsibilities as assigned. 16. Utilization review /management for inpatient behavioral health hospitalization for IHSC. ... Summary The Behavioral Health Case Manager is a...review and approval. Investigate complaints related to detainee behavioral health care and provides reports as… more
- Elevance Health (Indianapolis, IN)
- ** Behavioral Health Care Manager I** _*Ideal candidate must reside and be licensed in_ **_Indiana._** **Location:** Virtual: This role enables associate to work ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review .… more
- Healthfirst (NY)
- …other Operations leaders including but not limited to Care Management, Clinical Eligibility, Behavioral Health , and Appeals and Grievances teams to align ... set forth by CMS, New York State Department of Health (DOH), and other oversight entities** + **Develop and...improve department performance** + **Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for… more
- Samaritan Daytop Village (Rhinebeck, NY)
- …staff as needed with assuring compliance with external and internal utilization review /quality and appropriateness requirements. What qualifications do you ... recognized as one of New York's Largest as well as nationally known comprehensive Health and Human Service Agency. With 60+ programs and growing across New York City… more
- City and County of San Francisco (San Francisco, CA)
- …positions can review your application Under direction, the 2932 Senior Behavioral Health Clinician performs essential duties that include, but are not ... and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties as...techniques. + Knowledge of clinical methods refers to the utilization of the history, culture, socioeconomic background, and environment… more
- Molina Healthcare (AZ)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Veterans Affairs, Veterans Health Administration (Loveland, CO)
- …professional advice and consultation in areas related to professional psychology and behavioral health . Knowledge of clinical research literature. Reference: For ... office after complete review of the EDRP application. Responsibilities Cheyenne VA Health Care System: Start, continue, or finish your career here | Cheyenne VA … more
- Garnet Health (Harris, NY)
- …for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. Join the Garnet Health team and let your ... your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. Responsibilities… more