- CVS Health (Buckhannon, WV)
- …Program Experience Foster care experience Crisis intervention skills Managed care, Utilization review, Case management and/or discharge planning experience in ... of the state. Through a strong, localized team, an innovative care management model, and creative provider and community advocacy partnerships, Aetna Better Health… more
- Elevance Health (Mason, OH)
- ** Utilization Management Representative II** **Schedule: Monday-Friday 8am-5pm Eastern Time** **Must be located in the state of Ohio** **Virtual** : This role ... competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …delivery of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered ... within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and… more
- Elevance Health (VA)
- ** Behavioral Health Case Manager I (ARTS)** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... **Preferred Locations:** Richmond, VA, Roanoke, VA, Norfolk, VA The ** Behavioral Health Case Manager I (ARTS)** is...Manager I (ARTS)** is responsible for performing case management telephonically and/or by home visits within the scope… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * 1+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience. * 1+ ... Blue Cross and Blue Shield of Minnesota Position Title: Behavioral Health Case Manager - Medicare Advantage...Manager is a critical component of BCBSMN Care Management team as the primary clinician providing condition and… more
- Elevance Health (Rocky Hill, CT)
- …states or territory of the United States required. + Previous experience in utilization management with a broad range of experience with complex ... **JR168947 Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient… more
- St. Luke's University Health Network (Allentown, PA)
- …for admission and/or referral to appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of the utilization ... agencies, physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management . +… more
- Molina Healthcare (Rochester, NY)
- …and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical ... dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to… more
- Humana (Springfield, IL)
- …the Interdisciplinary team including LAL, IHWA, Social Services, Pharmacists, Psychiatrists, Utilization Management teams, Community Health Educators, EAP and ... and help us put health first** Join Humana Gold Plus-Integrated in Illinois as a Behavioral Health Care Manager and make a meaningful impact every day. In this… more
- Humana (Springfield, IL)
- … management of behavioral and physical health services, including Utilization Management (UM), Quality Improvement, and value-based payment programs. The ... BH services + Oversees, monitors, and assists with the management of psychopharmacology pharmacy benefits manager (PBM)...Management (QM) program; and work closely with the Utilization Management (UM) of services and associated… more
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