- 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...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- 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
- CVS Health (Phoenix, AZ)
- …meaningful difference in the lives of children and adolescents? Join Mercy Care as a Behavioral Health Utilization Management Clinician and become part of a ... + Experience with Arizona Department of Child Safety (DCS). + Knowledge of Behavioral Health Outpatient Services. + Utilization Management (UM) Experience.… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** The Sr Clinician, Behavioral Health Utilization Review will review behavioral health and ... health managed care preferred + Experience in behavioral health utilization review or...Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment,… more
- Veterans Affairs, Veterans Health Administration (Huntington, WV)
- …EDRP participants ineligible to apply. Responsibilities Total Rewards of a Allied Health Professional Description of Assigned Duties This position serves as ... team and helps to manage consults, admissions and care assignments. The Behavioral Health Interdisciplinary Program is comprised of multidisciplinary teams of… more
- Centene Corporation (Austin, TX)
- …appropriate level of care and services, and answering benefit questions. + Perform utilization review functions with behavioral health providers, including ... everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team....calls on a clinical phone queue. Ensure members receive behavioral health services appropriate to clinical need.… more
- State of Indiana (Indianapolis, IN)
- …+ Referral Bonus program + Employee assistance program that allows for covered behavioral health visits + Qualified employer for the Public Service Loan ... through access to high quality care and services. You serve as the utilization management subject-matter expert in health care delivery, develops utilization… more
- CVS Health (Norman, OK)
- …coordinating all care management activities with members to evaluate the medical and behavioral health needs to facilitate the member's overall wellness. + ... + Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate… more
- Centene Corporation (Lincoln, NE)
- …to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards ... by the applicable state (BCBA) required. Master's degree for behavioral health clinicians preferred. Behavioral ...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Magellan Health Services (San Diego, CA)
- …role with shift being Monday-Friday 8:30-5pm pacific. + A California active independent behavioral health or RN (with psychiatric/ behavioral health ) ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse...RN. Minimum 2 years experience post degree in healthcare, behavioral health , psychiatric and/or substance abuse … more
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