• Behavioral Health Intake…

    Charter Care Health Partners (Providence, RI)
    Summary: The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management, reviewing intake assessments, verifying clinical ... Minimum 2-3 years of experience in behavioral health , preferably in intake or utilization review roles. License: RI RN License required. Skills and… more
    Charter Care Health Partners (10/21/25)
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  • Behavioral Health Consultant-RN…

    WellSpan Health (York, PA)
    …to Behavioral Health . Performs a variety of reviews and applies Behavioral Health utilization and consultative services to determine the most ... efficient use of resources to support the behavioral health care goal of appropriate, cost...needs. + Assists with the collection and analysis of utilization patterns. + Brings known or suspected problems of… more
    WellSpan Health (09/05/25)
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  • Transitional Care Manager, Behavioral

    CVS Health (Oklahoma City, OK)
    …to identify and address patient needs (eg care team, social work, behavioral health , utilization management, Hard-to-Reach, Central Telehealth, etc.). ... assurance activities. **What are we looking for?** **Required Qualifications** + Active RN or Behavioral Health (BH) license in good standing within the state of… more
    CVS Health (11/09/25)
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  • Medical Director, Behavioral Health

    Molina Healthcare (Chandler, AZ)
    …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
    Molina Healthcare (11/09/25)
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  • Chief Medical Officer, Behavioral

    Centene Corporation (Austin, TX)
    Health goals for the product. + Take a macro-level view of behavioral health utilization management responsibilities to optimize clinical resource ... Purpose:** Provides strategic and clinical leadership for Behavioral Health across all clinical functions ( Utilization Management, Care Management,… more
    Centene Corporation (11/09/25)
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  • Utilization Review Clinician…

    Centene Corporation (Honolulu, HI)
    …Must have a current state's license **Must have Behavioral Health and Substance Abuse experience. Utilization Management experience strongly preferred.** ... regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall...health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process… more
    Centene Corporation (10/30/25)
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  • UM Behavioral Health Nurse

    Humana (Charleston, WV)
    …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to ... support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization more
    Humana (11/15/25)
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  • ABA Utilization Review (UR) Specialist

    Spectrum Billing Solutions (Skokie, IL)
    …Strong computer skills (Word, Excel, billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | ... Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing Specialist ​#UtilizationReviewSpecialist | #UtilizationManagementSpecialist… more
    Spectrum Billing Solutions (10/30/25)
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  • UM Care Manager (RN) - Behavioral

    UPMC (Pittsburgh, PA)
    …a few telephonic responsibilities. This role is dedicated to driving effective utilization management for behavioral health services, ensuring appropriate, ... Pennsylvania RN license. This role will review requests for authorization for behavioral health services. The Utilization Management (UM) Care Manager is… more
    UPMC (11/15/25)
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  • Behavioral Health Professional…

    St. Peters Health (Helena, MT)
    …and crises, stress-related physical symptoms and ineffective patterns of healthcare utilization . Behavioral health services include assessment, treatment ... The Behavioral Health Professional (BHP) is an...The Behavioral Health Professional (BHP) is an integral member of...who works to identify, triage and support patients with behavioral health needs in the primary care… more
    St. Peters Health (10/30/25)
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