- Trinity Health (Berwyn, IL)
- …in-services, provides patient referrals, and completes insurance pre-authorizations and utilization review process. Provides crisis intervention as necessary. ... the department. **OUTPATIENT:** Conducts group therapy sessions and performs case management responsibilities for behavioral health patients participating in… more
- CVS Health (Buckhannon, WV)
- …Waiver Program Experience Foster care experience Crisis intervention skills Managed care, Utilization review , Case management and/or discharge planning ... of the state. Through a strong, localized team, an innovative care management model, and creative provider and community advocacy partnerships, Aetna Better Health… more
- MVP Health Care (Rochester, NY)
- …senior leaders to promote appropriate care quality, service utilization , medication utilization and adherence, care management , and cost control. + Through ... To achieve this, we're looking for a **Medical Director, Behavioral Health Children's Services** , to join #TeamMVP. If...of NYS child serving systems. + Experience with critical review in clinical scenarios is desirable. + Knowledge of… more
- Elevance Health (Richmond, VA)
- …+ Licensure is a requirement for this position. + Previous experience in case management / utilization management with a broad range of experience with complex ... for employment, unless an accommodation is granted as required by law The ** Behavioral Health Care Manager II - Virginia** is responsible for managing psychiatric… more
- OLV Human Services (Lackawanna, NY)
- …navigating electronic health record (EHR) for documentation of services rendered. + Review utilization and service provision with supervisor + Coordinate and ... spouse completes too! Salary range: $18.22 - $26.00 per hour. The Youth Behavioral Support Caseworker provides direct services to children and families in their home… more
- Omaha Children's Hospital (Omaha, NE)
- …goals and objectives. + Serves as the primary contact for all payors regarding utilization review and management issues. + Delivers support of clinical ... + Participates in clinical huddles when working with medical & behavioral health providers to review the appointment schedule for the day and determine which… more
- Garnet Health (Harris, NY)
- …Case Manager for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. Join the Garnet Health team and ... your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. Responsibilities The… more
- UnityPoint Health (Cedar Rapids, IA)
- …regarding managed care implications - precertification and utilization review procedures. . Provides consultation regarding behavioral health issues ... Area of Interest: Nursing + FTE/Hours per pay period: 0.9 + Department: Behavioral Administration + Shift: Primarily Evenings 1500-2300 + Job ID: 153715 Overview… more
- Elevance Health (Grand Prairie, TX)
- …minimum of 3 years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as ... **JR167284 Behavioral Health Clinical Quality Audit Analyst, Sr** Responsible...required. **Preferred Skills, Capabilities, and Experiences:** + Independently licensed behavioral health clinician preferred (LCSW, LPCC, LMFT, Ph.D., Psy.D.,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * 1+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience. * 1+ ... Blue Cross and Blue Shield of Minnesota Position Title: Behavioral Health Case Manager - Medicare Advantage Location: Remote...Case Manager is a critical component of BCBSMN Care Management team as the primary clinician providing condition and… more