- Behavioral Center of Michigan (Warren, MI)
- …all state mandated regulations. Maintains compliancy with regulation changes affecting utilization management . Reviews patient recrods and evaluates patient ... programs and advises physicians and other departments of regulations affecting utilization management . Consults with Social Services Department regarding the… more
- Molina Healthcare (Los Angeles, CA)
- …healthcare services professionals in some or all of the following functions: care management , utilization management , behavioral health, care ... * Assists in implementing health management , care management , utilization management , behavioral...unrestricted in the state of California. * Certified Case Manager (CCM), Certified Professional in Health Care Management… 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.). ... team-based approach to providing outstanding patient care. Transitional Care Manager is an integral part of the team. The...follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and… more
- Elevance Health (Columbus, OH)
- **JR167272 Manager Behavioral Health Services** Responsible for overseeing Behavioral Health Utilization Management (BH UM), this position supports ... facility-based and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of education and… more
- CVS Health (Charleston, WV)
- …experience * Foster care experience * Crisis intervention skills * Managed care/ utilization review experience + Case management experience in an integrated ... * Case management and discharge planning experience. * Certified Case Manager (CCM) certification * Familiarity with QuickBase **Education** * Minimum of a… more
- Magellan Health Services (San Diego, CA)
- …Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided...directly influence quality of care. General Job Information Title Behavioral Health Care Manager Remote, must be… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 250924-5613FP-001 Location East Hartford, CT Date Opened 9/30/2025 12:00:00 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) (Regulatory) position,… more
- Elevance Health (Winston Salem, NC)
- …supervision **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of ... ** Behavioral Health Care Manager I (3rd...preferred. + Bilingual in Spanish is highly preferred + Utilization Management experince is preferred + Previous… more
- Elevance Health (Wallingford, CT)
- ** Utilization Management Medical Director- NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... Alternate locations may be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be… more
- Penn Medicine (Lancaster, PA)
- …life's work? **Fulltime/40 Hours Per Week/Excellent Medical Benefits** **POSITION SUMMARY:** The Behavioral Health Care Manager is a master's level behavioral ... for patients with comorbid medical, mental health and/or substance use disorders. The Behavioral Health Care Manager leverages their behavioral health… more
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