- 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
- 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
- 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
- Fairview Health Services (Minneapolis, MN)
- …and Quality named MHealth Fairview Clinics as one of eight "exemplar" integrated behavioral health primary care models across the country. Integrated care is ... the result of an engaged primary care team and Behavioral Health Clinician providing patient-centered care addressing...determinants of health , and ineffective patterns of health care utilization . At MHealth Fairview, integrated… more
- Elevance Health (OH)
- ** Behavioral Health Care Manager I - (Day...or a NC License_** + Previous experience in case management / utilization management with a broad range ... + Monday-Friday 9am-6pm EST + Monday-Friday 11am-8pm EST The ** Behavioral Health Care Manager I - (Day...preferred. + Bilingual in Spanish is highly preferred + Utilization Management experience is preferred + Previous… more
- Elevance Health (NC)
- ** Behavioral Health Care Manager I - North Carolina** **Sign on Bonus: $3,500** **Location** **- Virtual:** This role enables associates to work virtually ... PM, and Sunday 8:00 AM - 8:00 PM. The ** Behavioral Health Care Manager I - North...Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad… more
- CVS Health (Chicago, IL)
- …* Minimum 2 years of direct clinical practice experience post masters in Behavioral Health * Minimum 1+ year of Case Management experience * Willing and able ... and/or trainings in Downers Grove IL as needed/requested by Management .** BH Clinical Case Manager is responsible for telephonically...activities with members to evaluate the medical needs and behavioral health needs of the member to… 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
- Highmark Health (Harrisburg, PA)
- …:** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health care services, ... utilization , identification of opportunities for referral to a Health Coach/case management , and identification and resolution...years of post licensure experience in a combination of Behavioral Health Clinical, Case Management … more
- Centene Corporation (Phoenix, AZ)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Sr Behavioral Health Medical Director to direct and coordinate the medical ... functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. +… more