- AmeriHealth Caritas (Philadelphia, PA)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... about us at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor, Appeals and Grievances, this position is responsible for the… more
- Centene Corporation (Salem, OR)
- …at Superior HealthPlan or LPC, LCSW or Psy D. licensure within UM Behavioral Health Appeals team. **Specialty Therapy Requirement:** Master's degree ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- State of Colorado (Greeley, CO)
- Behavioral Health Specialist, Social Work/Counselor II - Platte Valley Youth Services Center Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5120578) Apply Behavioral Health Specialist, Social Work/Counselor II - Platte Valley Youth… more
- State of Colorado (Colorado Springs, CO)
- Social Work / Counselor III ( Behavioral Health Specialist) - Spring Creek Youth Services Center Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5117443) Apply Social Work / Counselor III ( Behavioral Health Specialist) - Spring Creek Youth… more
- Elevance Health (Chillicothe, OH)
- …informed, culturally competent, person‐centered coordination for all members that addresses physical health , behavioral health , long term services and ... **LTSS Service Coordinator (Case Manager)** **Hiring near Cambridge, Colerain, Chillicothe,...individual's support network and oversee management of their physical health , behavioral health , and long-term… more
- Elevance Health (Tampa, FL)
- …the member's circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable ... **LTSS Service Coordinator (Bilingual in Spanish/English)** **Schedule:** Monday-Friday 8am-5pm **Location** _:_ This is primarily a field based position. Candidate… more
- HCA Healthcare (Manchester, NH)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... care like family! Jump-start your career as a Medical Staff Services Coordinator today with Catholic Medical Center. **Benefits** Catholic Medical Center, offers a… more
- Saint Francis Health System (Tulsa, OK)
- …therefrom or Master's degree in Social Work, Counseling or related behavioral health field. Licensure, Registration and/or Certification: Valid multi-state ... Experience: 3 - 4 years of related experience in behavioral health care, part of which may...established by the managed care contracts. Investigates and prepares appeals for insurance companies, when denial of reimbursement is… more
- Select Medical (Dallas, TX)
- …Rehabilitation** A joint venture with Select Medical & Baylor Scott & White Health Dallas, TX **Clinical Intake Coordinator / Clinical Liaison (RN strongly ... feel like a home, yet gives patients with physical, behavioral and cognitive impairments access to comprehensive therapy in...in Dallas is co-owned by Baylor Scott & White Health - adding to the confidence our patients and… more
- Highmark Health (Nashville, TN)
- …Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent ... review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
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