- MVP Health Care (Schenectady, NY)
- …For in New York** , and an **Inclusive Workplace** . The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental ... improvement. To achieve this, we're looking for a **Professional, Behavioral Health ** to join #TeamMVP. If you...with at least 2 years being ASD related + Utilization or Case Management experience in a… more
- Banner Health (Scottsdale, AZ)
- …Shift:** Day **Job Category:** Clinical Care For more than 30 years, Banner Behavioral Health Hospital has provided a nationally recognized, behavioral ... program for children, teens and adults faced with psychiatric, behavioral health , or chemical dependency challenges. We...continuum of care. 7. Educates internal members of the health care team on case management and… more
- Banner Health (Glendale, AZ)
- …want to be part of, we want to hear from you. Bring your passion for Behavioral Health to **Banner Thunderbird Medical Center- BTMC!** Our Behavioral ... mental health diagnoses as well as those behavioral health patients whom have co-morbidities that...continuum of care. 7. Educates internal members of the health care team on case management and… more
- Corewell Health (Grand Rapids, MI)
- …stay reviews and appeals. Additional support to the UM functions of the Corewell Health South Behavioral Health Inpatient unit. + Assesses internal and ... recommendations to PCPs, specialists and other members of the health care team regarding care management strategies,...of the health care team regarding care management strategies, identifying strategies to maximize continuity of care… more
- BriteLife Recovery (Englewood, NJ)
- …in utilization review, case management , or insurance coordination in a behavioral health or substance use treatment setting. + Knowledge of ASAM criteria ... and a working knowledge of insurance guidelines specific to behavioral health What tasks are required? +...Maintain compliance with payer policies, HIPAA regulations, and internal utilization management protocols. + Monitor trends in… more
- Centene Corporation (Phoenix, AZ)
- …to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...licensure as outlined by the applicable state (BCBA) required. Behavioral health clinical knowledge and ability to… more
- East Boston Neighborhood Health Center (MA)
- …Locations: 1601 Washington Street Position Summary: Under the direction of the Chief Behavioral Health Officer, the Administrative Director is an agent of change ... who oversees the overall clinical quality and operations for the Department of Behavioral Health our South End location, which includes the Integrated … more
- Prime Healthcare (Redding, CA)
- …hire and maintain current.4. Minimum one (1) year Inpatient l or Outpatient Behavioral Health experience. Experience in working with a diverse population with ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/222168/social-worker-ii utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityShasta… more
- CVS Health (Frankfort, KY)
- …+ Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... care issues through established channels. + Ability to speak to medical and behavioral health professionals to influence appropriate member care. + Utilizes… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- …is to promote the overall health and wellness of persons with behavioral health needs through an integrated network of holistic, comprehensive, effective and ... State Employee Benefits Overview page + Professional growth and development opportunities + A health work/life balance AS A UTILIZATION REVIEW NURSE , YOU WILL :… more