- CVS Health (Phoenix, AZ)
- …be at the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate, evidence-based care. You'll ... **Position Summary** We are seeking a dedicated Utilization Management ( UM ) Nurse to join our remote team....Apply critical thinking and evidence-based clinical criteria specific to Behavioral Health to evaluate inpatient and outpatient… more
- AmeriHealth Caritas (LA)
- **Role Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical ... cases to integrated care management as needed. The BH UM Reviewer will apply medical health benefit...in Social Work + Minimum of 2 years of behavioral health experience and substance use disorder… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, ... health care services. Examples may include: Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian and Respiratory Therapist +… more
- CVS Health (Austin, TX)
- …and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): + ... is not accepting applicants whose only acute care experience is in behavioral health ) **Preferred Qualifications** + 1+ years' experience Utilization Review… more
- University of Michigan (Ann Arbor, MI)
- …within the last year + Recent experience completing ECT Assessments + Recent UM -MiChart experience. + Demonstrated knowledge of cognitive behavioral treatment of ... REGISTERED NURSE - University Hospital - Electroconvulsive Therapy (ECT)/ Ketamine...Clinic Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and communities through excellence in… more
- Highmark Health (Harrisburg, PA)
- …panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of ... various resources to assist members in achieving their personal health goals. Will work with providers to insure quality...in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + 1 year in advanced training and… more
- Molina Healthcare (NM)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Medicaid recipients. Preference will be given to those whose UM experience is within another MCO like Molina; experience...field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required… more
- AmeriHealth Caritas (Philadelphia, PA)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …improve provider performance and member satisfaction. Required Skills and Experience * Registered nurse or licensed behavioral health clinician (ie LICSW, ... Title: Care Manager PreService & Retrospective - Autism Location: Remote Career Area: Health Services About Blue Cross and Blue Shield of Minnesota At Blue Cross… more
- University of Southern California (Alhambra, CA)
- …10. Demonstrates collaborative working relationship with care team members, including pharmacy, behavioral health , field team, office staff, and facility staff. ... coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a… more
Related Job Searches:
Behavioral,
Behavioral Health,
Behavioral Health Nurse,
Health,
Health Nurse,
Nurse