- UNC Health Care (Hendersonville, NC)
- …for behavioral health services. Working closely with behavioral health clinicians, utilization review, case management , and finance teams, the ... appropriate care transition and patient placement. + Liaise with utilization review, psychiatry leadership, risk management , and/or... field. + Minimum 2 years of experience in behavioral health , care coordination, case management… more
- Helio Health Inc. (Syracuse, NY)
- …mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. To support the mission ... staff on current principles and standards of practice surrounding utilization and denials management . + Use effective...Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care,… more
- LifeCenter Northwest (Bellevue, WA)
- …case activity or operational needs. + Collaborate with the Director, Organ Utilization , to manage departmental budgets and identify cost- management opportunities ... Position Type Full Time Description and Qualifications The Manager, Organ Utilization (OUM) provides strategic leadership and operational oversight for the Organ… more
- LifeCenter Northwest (Bellevue, WA)
- …Salary Position Type Full Time Description and Qualifications The Director, Organ Utilization (Director), is responsible for overseeing the processes and teams that ... and executes strategies to improve organ allocation strategy and organ utilization , collaborates closely with transplant programs and the surgical recovery team… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …years of the General Experience must have been working with persons with behavioral health disabilities or an intellectual disability. DEPARTMENT OF VETERANS ... Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment...CT DPH online application (https://www.elicense.ct.gov/) online (expand the 'Public Health Practitioners' grouping, select 'Registered Nurse' and then 'Start';… more
- CenterWell (San Juan, PR)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- CenterWell (Austin, TX)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Healthfirst (NY)
- …**Collaborate closely with other Operations leaders including but not limited to Care Management , Clinical Eligibility, Behavioral Health , and Appeals and ... set forth by CMS, New York State Department of Health (DOH), and other oversight entities** + **Develop and...improve department performance** + **Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for… more
- Centene Corporation (Harrisburg, PA)
- …EASTERN TIME ZONE/CENTRAL TIME ZONE.** **IDEAL APPLICANTS WILL HAVE CHILDREN/ADOLECENT BEHAVIORAL HEALTH EXPERIENCE AND HOLD A PENNSYLVANIA LICENSURE.** ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder… more
- South Middlesex Opportunity Council (Framingham, MA)
- …casual Working Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact with ... Summary: SMOC Behavioral Healthcare is a division of SMOC that...division of SMOC that provides substance abuse and mental health outpatient services to individuals, children and families. This… more