- Excellus BlueCross BlueShield (Rochester, NY)
- … health care cost drivers. Essential Accountabilities: Level I + Handles behavioral health member clinical management programs. + Maintains knowledge of ... health care services. Examples may include Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian and Respiratory Therapist +… more
- CenterWell (Tallahassee, FL)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... **Become a part of our caring community and help us put health first** Utilization Management Administration Coordinator II , non-clinical, supports the UM … more
- Elevance Health (Charleston, WV)
- …initiatives. **Minimum Requirements:** + Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 ... LMFT LMSW or Clinical Psychologist to practice as a health professional within the scope of licensure...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral… more
- Molina Healthcare (Savannah, GA)
- …+ 3 or more years in case, disease or utilization management; managed care; or medical/ behavioral health settings. + 3 or more years in a training, auditing ... years in case, disease or utilization management; managed care; or medical/ behavioral health settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :… more
- 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
- CVS Health (Tallahassee, FL)
- …other clinical services that are evidence-based. * Work collaboratively with the Behavioral Health , Pharmacy, Member Outreach, Care Management, National Quality ... Utilization Management, Compliance, and other departments to integrate social, behavioral , and physical health and improve clinical...or other presentations (written or oral) that support the health plan in a professional and effective… more
- University of Michigan (Dearborn, MI)
- …their excellence in scholarship and teaching and are actively engaged in professional and academic service. UM -Dearborn offers ample opportunities for creative, ... teaching statement, research statement, and the names of three professional references to the (INTERFOLIO LINK (https://apply.interfolio.com/173478) ). Teaching and… more
- UnityPoint Health (Cedar Rapids, IA)
- … care decision-making. Qualifications + State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional communication - written & ... 0900-1700 + Job ID: 174223 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in… more
- Elevance Health (Tampa, FL)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... the following Florida Medicare plans: Simply Healthcare Plans, Healthsun Plans, Freedom Health , and Optimum Healthcare Plans and will be responsible for utilization… more
- University of Miami (Coral Gables, FL)
- …. The University of Miami's Autism Spectrum Assessment Clinic (https://umasac.psy.miami.edu/) ( UM ASAC), an affiliated clinic of the University of Miami's Center ... for Autism and Related Disabilities (https://www.card.miami.edu/) ( UM CARD), has an open psychologist position available within the Department of Psychology… more