- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …or Hispanic/ Latino. * 1+ years of managed care experience, eg case management /health coach, utilization management and/or auditing experience. Compensation ... role is a critical component of the BCBSMN Care Management team. Behavioral Health Care Advisors will...discover more about what we have to offer, please review our benefits page. PI277635471 Minimum Education Required -… more
- Elevance Health (Rocky Hill, CT)
- …facility-based and outpatient professional treatment health benefits through telephonic or written utilization review . **How you will make an impact:** + Uses ... ** Behavioral Health Care Manager II** A proud member...requirement for this position. + Previous experience in case management / utilization management with a broad… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Accountabilities: Level I + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. ... Performs medical review activities pertaining to utilization review...expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory,… more
- Dartmouth Health (Keene, NH)
- …of research-based critical pathways and outcome measurement preferred. Experience in case management , utilization review and discharge planning preferred. ... Functioning as a member or the Behavioral Health Team, the Master's Level Clinician, in...practice, while emphasizing care coordination across the continuum. Perform utilization management activities as necessary to ensure… more
- Logan Health (Chester, MT)
- …practice. + As applicable to assigned area(s): performs the duties of Utilization Review , precertification, concurrent reviews, and retro reviews; completes data ... Join Our Growing Behavioral Health Team! . Our Mission: Quality, compassionate...in assessment, crisis assessment, brief therapies, and clinical case management preferred. + Ability to analyze, intervene and evaluate… more
- Logan Health (Kalispell, MT)
- …practice. + As applicable to assigned area(s): performs the duties of Utilization Review , precertification, concurrent reviews, and retro reviews; completes data ... Excellence. Logan Health has an opening for a PRN Behavioral Health Therapist (LCSW, LCPC, or LMFT) to join...in assessment, crisis assessment, brief therapies, and clinical case management preferred. + Ability to analyze, intervene and evaluate… more
- Elevance Health (Cerritos, CA)
- …quickly learn and adapt to new technologies preferred. + Previous experience in utilization management with a broad range of experience with complex ... A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and… more
- City and County of San Francisco (San Francisco, CA)
- …positions can review your application Under general supervision, the 2930 Behavioral Health Clinician performs essential duties that include, but are not limited ... psychotherapy, crisis intervention, outreach services, culturally competent interventions, case management and rehabilitation to clients enrolled in behavioral … more
- Elevance Health (CA)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** California. This...and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis… more
- UnityPoint Health (Cedar Rapids, IA)
- …home care. Responsible for case coordination of patients and insurance precertification/ utilization review . Patients served include adult and geriatric. St. ... coverage. + Coordinates cases with community agencies, referral sources. + Manages utilization review for own patients with insurance carriers. + Provides… more
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