- Commonwealth Care Alliance (Boston, MA)
- …improvement. - Minimum five (5) years of clinical experience in medical or behavioral health care delivery Required Knowledge, Skills & Abilities: - Medicare ... and evaluates efficiency and productivity of utilization management functions for physical health services and long term services and supports. Works closely with… more
- Magellan Health Services (Boise, ID)
- …for RN, Masters or Doctoral level provider. General Job Information Title Clinical Manager, Behavioral Health ( UM ) -Licensed, Remote in Idaho Grade 27 Work ... and providers. Thorough knowledge of healthcare services in physical health , behavioral health or other...Social Worker - Care MgmtCare Mgmt, LPCC - Licensed Professional Clinical Counselor - Care MgmtCare Mgmt, LPC -… more
- Common Ground (Flint, MI)
- Exciting Career Opportunity! The Behavioral Health Utilization Management ( UM ) Specialist is responsible for reviewing and evaluating mental health and ... guidelines. This role supports quality care delivery while managing behavioral health resources efficiently. To view full...disorder Certifications + Meets criteria as a Qualified Mental Health Professional (QMHP) defined by the State… more
- Elevance Health (Cerritos, CA)
- A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... insightful analytics to improve the delivery of care. **Title:** Behavioral Health Care Manager I **Locations:** CA...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… more
- Elevance Health (NC)
- ** Behavioral Health Care Manager I (2nd...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure ... (Work every other weekend - Saturday and Sunday) The ** Behavioral Health Care Manager I (2nd Shift)-...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- Elevance Health (FL)
- ** Behavioral Health - Care Manager II**...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure ... an accommodation is granted as required by law. The ** Behavioral Health - Care Manager II** is...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- Elevance Health (Nashville, TN)
- ** Behavioral Health Care Manager II -...laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure ... law._ **Shift & Hours:** Monday - Friday, 8:00AM-5:00PM The ** Behavioral Health Care Manager II - Licensed... healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to… more
- Elevance Health (Indianapolis, IN)
- ** Behavioral Health Care Manager I** Carelon ...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- Centene Corporation (Madison, WI)
- …THE POTENTIAL OF WEEKEND AND HOLIDAY ROTATIONS **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate ... day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Centene Corporation (Springfield, IL)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
