- CVS Health (Columbus, OH)
- …+ 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
- Molina Healthcare (Rochester, NY)
- …dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to ... -related regional medical necessity reviews and cross coverage. * Standardizes behavioral health -related utilization management, quality, and financial… 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
- Elevance Health (Nashville, TN)
- …Analyst,** is responsible for managing Applied Behavioral Analysis behavioral health benefits through telephonic or written review . **How You Will Make ... ** Behavioral Health Care Manager II -...** Behavioral Health Care Manager II - Licensed Behavioral...is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with… more
- Granville Health System (Oxford, NC)
- …Care case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; ... one level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients… more
- AmeriHealth Caritas (Washington, DC)
- …Director for further review . The reviewer independently applies medical and behavioral health guidelines to authorize services, ensuring they meet the ... efficiently document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria, care coordination,… more
- Elevance Health (Durham, NC)
- ** Behavioral Health Care Manager I (3rd Shift -After Hours) - Bilingual Preferred** **Location - Virtual:** This role enables associates to work virtually ... on holidays as part of a rotating schedule._ The ** Behavioral Health Care Manager I (3rd Shift...or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review .… more
- Immigration and Customs Enforcement (Port Isabel, TX)
- …Suicide Risk management, etc.) and work collaboratively to address the same. Participates in review of behavioral health processes and procedures within the ... Summary The Supervisory Behavioral Health Provider oversees behavioral...identified as having a serious mental illness using Mental Health Review form (IHSC-883). Works in conjunction… more
- Molina Healthcare (GA)
- …of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other ... the following areas: utilization management, care management, care transitions, behavioral health , long-term services and supports (LTSS), or equivalent… more
- Elevance Health (Norfolk, VA)
- ** Behavioral Health Medical Director- Psychiatrist Virginia Medicaid** Location: This role enables associates to work virtually full-time, with the exception of ... required by law. Alternate location may be considered. The ** Behavioral Health Medical Director- Psychiatrist** is responsible...state or territory of the United States when conducting utilization review or an appeals consideration and… more