• Behavioral Health Care…

    Elevance Health (Miami, FL)
    **JR153784 Behavioral Health Care Manager II** The Behavioral Health Care Manager II is a utilization management role and is responsible for ... resources. + Will serve as a resource to other Behavioral Health Care Managers. + Assists with...is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with… more
    Elevance Health (06/14/25)
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  • Utilization Review Intake RN…

    AdventHealth (Glendale Heights, IL)
    …you'll need to succeed** + Associate's of Nursing Required + RN experience in behavioral health preferred + Must be able to demonstrate knowledge and skills ... positions + Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support + Debt-free Education (Certifications and Degrees without… more
    AdventHealth (06/13/25)
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  • Behavioral Health Utilization

    Actalent (Sunrise, FL)
    Utilization Management Nurse!Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure ... appropriate service utilization . Working under the general supervision of the Director...Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an… more
    Actalent (06/21/25)
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  • Supervisor, Utilization Review…

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …Manages People This role directly manages 5-10 This role reports to this job: Manager , Behavioral Health Operations Necessary Contacts: In order to ... or a related field, masters in social work, counseling, or other behavioral health related field is required. + Current, unrestricted RN, license in the… more
    Blue Cross and Blue Shield of Louisiana (06/20/25)
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  • Case Manager Utilization Review…

    Beth Israel Lahey Health (Burlington, MA)
    …job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ... Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and monitors quality assurance for Lahey Clinic inpatient… more
    Beth Israel Lahey Health (05/11/25)
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  • Manager Utilization Management

    Beth Israel Lahey Health (Burlington, MA)
    …for /Managed Care, Physician Advisors Works collaboratively managing the process of Utilization Review throughout the system **As a health care organization, ... a job, you're making a difference in people's lives.** Manages the Utilization Management (UM) team, maintaining effective and efficient processes for determining… more
    Beth Israel Lahey Health (06/06/25)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. To support the mission ... of Helio Health , theUtilization Case Manager will enhance the...and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a… more
    Helio Health Inc. (05/30/25)
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  • Manager Utilization Review

    Intermountain Health (Murray, UT)
    …closely related field including Utilization Management, discharge planning, managed care, health promotion, health coaching, behavioral health , ... **Job Description:** Select Health is a community health plan...and self-funded Commercial Employer plans. The Healthy Connections Program Manager reports to a line of business leader or… more
    Intermountain Health (06/25/25)
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  • Clinical Case Manager , Transitions…

    CVS Health (Norman, OK)
    …Using holistic approach consults with manager , Medical Directors and/or other physical/ behavioral health support staff and providers to overcome barriers to ... coordinating all care management activities with members to evaluate the medical and behavioral health needs to facilitate the member's overall wellness. +… more
    CVS Health (06/26/25)
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  • Behavioral Health Care…

    Elevance Health (Los Angeles, CA)
    …and depression, and insightful analytics to improve the delivery of care. **Title:** Behavioral Health Care Manager II **Location:** Woodland Hills, CA ... and ensures essential face-to-face onboarding and skill development. The ** Behavioral Health Care Manager II**...of experience in a managed care organization in a utilization management behavioral health role… more
    Elevance Health (06/10/25)
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