- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- Centene Corporation (Tallahassee, FL)
- …experience in applied behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: Corporate / ... of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder...Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers… more
- Brockton Hospital (Brockton, MA)
- POSITION SUMMARY: The Utilization Review Specialist - Behavioral Health works collaboratively with Administration, Coding, Physicians, Nursing, Social Work, ... conditions and treatments from point of entry to discharge. Performs timely utilization and clinical reviews and communicates with insurance/ managed care entities… more
- CVS Health (Sacramento, CA)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus ... to coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health...+ 3+ years of post clinical licensure experience in behavioral health + 3+ years knowledge of… more
- Centene Corporation (Salem, OR)
- …disorders experience is required. + Direct experience with Utilization Review or Utilization Management related to Behavioral Health case is preferred + ... in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of… more
- Centene Corporation (Raleigh, NC)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... WORK 10 HOURS.** **THIS ROLE WILL MAINLY SUPPORT MEDICARE BEHAVIORAL HEALTH ALL STATES AND DELAWARE MEDICAID...health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process… more
- Eastern Connecticut Health Network (Manchester, CT)
- …field is required. EXPERIENCE: + Minimum of ten (10) years of experience in the Behavioral Health field with Utilization Review required. + Must have ... POSITION SUMMARY: This position is responsible for maximizing access to inpatient behavioral health care and patient movement for the Department of Behavioral… more
- Adelante (Phoenix, AZ)
- … health issues and providers education to assist with enhancing primary care utilization of behavioral health interventions + Promote a smooth interface ... Behavioral Health Consultant Job Details Job...+ Demonstrate an understanding of facility organizational structure by utilization of appropriate channels of communication. Maintain consistent, timely… more
- Humana (Oklahoma City, OK)
- …part of our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within specific… more
- HCA Healthcare (Dulles, VA)
- …Hospital Center! **Manages the day-to-day operations of the Behavioral Health Nursing Department through effective utilization of self, shift House ... **Introduction** Do you have the career opportunities as a Nurse Manager Behavioral Health you want in your current role? We invest in what matters… more
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