- CVS Health (Harrisburg, PA)
- …setting required for either BH or RN -1+ years of utilization review/ utilization management required (ie concurrent review, pre-certifications) for ... to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and...MSW, LCSW, Behavioral /mental health services or Registered Nurse with Behavioral Health… more
- PeaceHealth (Bellingham, WA)
- **Description** PeaceHealth is seeking a RN Admissions/ Utilization Behavioral Health - Care Management for a Full Time, 1.00 FTE, Day position. The ... Review experience, someone who can talk to providers. **Credentials** + Required: Registered Nurse in state of practice + Preferred: Psychiatric/Mental Health… more
- AmeriHealth Caritas (LA)
- **Role Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical ... to 2 weekends per year **Education & Experience** + Registered Nurse candidates: Associate Degree in Nursing...and American Society of Addiction Medicine (ASAM) criterion + Utilization management experience within a managed care… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
- UnityPoint Health (Cedar Rapids, IA)
- …ID: 174223 Overview This position is on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient ... patient and provider satisfaction. The UM Specialist provides the Utilization Management function for patients admitted to...health care decision-making. Qualifications + State of Iowa Licensed RN + Two years of behavioral health… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests ... benefit coverage while working remotely. Primary Responsibilities * Performs behavioral health clinical utilization reviews using evidenced...* Current Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) with state… more
- Molina Healthcare (Reno, NV)
- …experience. * At least 1 year of health care management /leadership experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... in some or all of the following functions: care management , utilization management , behavioral... Management staff in a managed care organization Registered Nurse ( RN ). License must… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …bonus eligible **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... patient outcomes are met. + Participates in the safe management of the milieu, intervening effectively with patients who...to work and help communities thrive. ** Registered Nurse ( RN ) - Behavioral Health… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Hospital** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... where associates want to work and help communities thrive. ** Registered Nurse ( RN ) -** Psychiatric...of Science Nursing (preferred) **Work Experience** 1 year of RN experience (required) Recent Behavioral Health experience… more
- Molina Healthcare (MI)
- …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...r equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational… more