- 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
- Adelante (Mesa, AZ)
- Behavioral Health Medical Assistant - Mesa, AZ Job Details Job Location Adelante Healthcare Mesa - Mesa, AZ Position Type Full Time Education Level HS Diploma from ... discharge. The Medical Assistant will work with patients to develop self- management goals, provide insurance, referral, and prior authorization support, and may… more
- Molina Healthcare (CT)
- …healthcare services support for care management , care review , utilization management , transitions of care, behavioral health, long-term services ... and timely completion. * Actively participates in department auditing program to review and communicate findings with staff and identify opportunities for improved… more
- Elevance Health (Rocky Hill, CT)
- …states or territory of the United States required. + Previous experience in utilization management with a broad range of experience with complex ... **JR168947 Behavioral Health Care Manager II** Responsible for managing...outpatient professional treatment health benefits through telephonic or written review . The BH Care Manager (UM) job progression is… more
- St. Luke's University Health Network (Allentown, PA)
- …for admission and/or referral to appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of the utilization ... mental health illness. Previous experience in discharge planning and case management models preferred.Current Behavioral Health department program for… more
- CVS Health (Phoenix, AZ)
- …plan medical directors. + Attends and participates in clinical meetings with care management and utilization management . Provides subject matter expertise on ... the direction of the Lead Director, Service Operations, this position will focus on utilization , quality and fraud waste and abuse review for individual cases… more
- Atlantic Health System (Morristown, NJ)
- …and families on diagnoses, treatment options, relapse prevention, and self- management strategies. 04. Provides brief, evidence-based behavioral interventions ... Collaborates with patients nearing discharge to create relapse prevention and self- management plans. 12. Completes accurate, timely, and legible documentation of… more
- Virtua Health (Mount Holly, NJ)
- …Locations: Job Information: This hybrid position will support the new Inpatient Behavioral Health clinical team. Travel to all four hospital campuses - Marlton, ... local regulatory guidelines. Job Responsibilities: Financial / Revenue Cycle Management Oversees the daily/monthly expenditures, staffing and overtime hours. Ensures… more