- Elevance Health (Cerritos, CA)
- …and depression, and insightful analytics to improve the delivery of care. **Title:** Behavioral Health Care Manager I **Locations:** CA - Cerritos, Walnut Creek, ... an accommodation is granted as required by law. The ** Behavioral Health Care Manager I** is responsible...effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate.… more
- Elevance Health (Durham, NC)
- ** Behavioral Health Care Manager I (3rd Shift -After Hours) - Bilingual Preferred** **Location - Virtual:** This role enables associates to work virtually ... on holidays as part of a rotating schedule._ The ** Behavioral Health Care Manager I (3rd Shift...effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate.… more
- Elevance Health (Rocky Hill, CT)
- ** Behavioral Health Care Manager II** A proud member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical ... 10:30am-7:00pm shifts (two to three times per month).** The ** Behavioral Health Care Manager II** is responsible...effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate.… more
- Elevance Health (Los Angeles, CA)
- ** Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... member needs to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting in accordance with...cost-effective setting in accordance with UM Clinical Guidelines and contract . + Ability to work with all levels of… more
- Elevance Health (Richmond, VA)
- …considered for employment, unless an accommodation is granted as required by law The ** Behavioral Health Care Manager II - Virginia** is responsible for managing ... to assess member needs to ensure access to medically necessary, quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines… more
- Elevance Health (Rocky Hill, CT)
- **JR168947 Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... benefits through telephonic or written review. The BH Care Manager (UM) job progression is primarily a provider...member needs to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting in accordance with… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …specialists and criminal justice system partners. Serving as a primary therapist/case manager , the Behavioral Health Senior Clinician, provides a wide range ... Behavioral Health Senior Clinician - Jail & Court...electronic health record meeting state, local and federal performance contract , and licensing expectations. This position is eligible for… more
- Molina Healthcare (GA)
- …or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other ... of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Responsible for… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …health care services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist + Accepts ... especially those with varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director,… more
- Elevance Health (Columbus, OH)
- ** Provider Contract Specialist Manager ** Carelon Behavioral Health Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, ... insightful analytics to improve the delivery of care. The ** Provider Contract Specialist Manager ** functions...and a minimum of 5 years of experience with provider contracts , plan procedures, and policies; or… more