- Centene Corporation (Phoenix, AZ)
- …person meetings at our Tempe and/or Tucson offices.** **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure ... and facilitates operations within utilization management. + Oversees the behavioral health (BH) utilization review clinicians and ensures compliance with… more
- CVS Health (Frankfort, KY)
- …clinically appropriate treatment, evidence-based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... + Must reside in Kentucky or bordering Counties + Licensed independent behavioral health clinician with Kentucky state licensure (LCSW, LPCC, LMFT,… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- 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
- Elevance Health (Columbus, OH)
- **JR167272 Manager Behavioral Health Services** Responsible for overseeing Behavioral Health Utilization Management (BH UM), this position supports ... appropriateness of care for inpatient/outpatient BH services; ensures appropriate utilization of BH services through level of care determination,...UM: MS in social work, counseling, psychology or related behavioral health field or a degree in… more
- 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
- 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
- Devereux Advanced Behavioral Health (Malvern, PA)
- …motivated professionals? If you answered YES, then consider joining our Devereux Advanced Behavioral Health team! Being a Utilization Review Specialist at ... your passion for helping individuals in need. Devereux's Children Behavioral Health Center (DCBHC) is currently seeking a Utilization Review Specialist to… more
- CVS Health (Salt Lake City, UT)
- …care setting such as ambulatory care or outpatient clinic/facility. + Unencumbered Independent Behavioral Health clinical license in the state where they work. ... LPCC, LMHCS, LMHC, LMFT, LCSW) OR RN with 3+ years of clinical behavioral health experience required. **Preferred Qualifications** + Knowledge of mental … more
- CVS Health (TX)
- …standard business hours. No nights, weekends or holidays. As a **UM Clinician Behavioral Health ** you will: - Utilize clinical experience and skills in ... /benefit management function. **Required Qualifications** - Valid unrestricted independent professional behavioral health clinical license to practice per state… more
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