- Elevance Health (Tampa, FL)
- …and/or behavioral health practitioners responsible for coordinating member service, utilization , access, care management and/or concurrent review to ensure ... reside in the state of Florida* The **Manager of Utilization Management ** is responsible for managing a...would provide an equivalent background. + Current active unrestricted RN , PA, LSW, LCSW, LPC, LMHC or other accepted… more
- UPMC (Pittsburgh, PA)
- …or licensure in a human services field. + Three years of experience in behavioral , clinical, utilization management , home care, discharge planning, and/or ... and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other...Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ). Preference will… more
- MVP Health Care (Rochester, NY)
- …Master's prepared and licensed mental health clinician (LMSW, LCSW, LMHC, etc.) or Licensed Registered Nurse ( RN ) required + New York State license required ... Behavioral Health (BH) Professional is responsible for conducting utilization review for mental health and substance use treatment...with at least 2 years being ASD related + Utilization or Case Management experience in a… more
- BriteLife Recovery (Englewood, NJ)
- …you? + Minimum of 2-3 years of experience in utilization review, case management , or insurance coordination in a behavioral health or substance use treatment ... compliance. + Maintain compliance with payer policies, HIPAA regulations, and internal utilization management protocols. + Monitor trends in denials, approvals,… more
- State of Colorado (Pueblo, CO)
- …date and time listed. + Description + Benefits + Questions Department Information Registered Nurse I-Full Time CMHHIP This position has a residency waiver ... in accordance with nursing education and licensure as a Registered Nurse . Duties in this position include:...and tied to CMHHIP's improvement goals. + Participate in utilization management and review activities when requested,… more
- UPMC (Pittsburgh, PA)
- …will be given to LSW, LPC or CSW. + Three years of experience in behavioral , clinical, utilization management , home care, discharge planning, and/or case ... and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other...Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ). Preference will… more
- UPMC (Pittsburgh, PA)
- …Paramedic/EMT with 6-8 year of experience. + Three years of experience in behavioral , clinical, utilization management , home care, discharge planning, and/or ... and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other...Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ) *Current licensure… more
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Experience in a clinical setting **Preferred** + Certification in utilization management or a related field +...and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** +… more
- Texas Health Resources (Bedford, TX)
- …role (ie Charge nurse , committee chair, preceptor) Required Licenses and Certifications * RN - Registered Nurse Upon Hire Required And * BCLS - ... Nursing Supervisor - Behavioral Health _Texas Health Bedford BU - ...career opportunities. Additional perks of being a Texas Health Registered Nurse : * Benefits include 401k, PTO,… more
- UPMC (Pittsburgh, PA)
- … RN , Psychologist, LMFT or LPC + Three years of experience in behavioral , clinical, utilization management , home care, discharge planning, and/or case ... and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other...Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ) + Act… more