- Humana (Salt Lake City, UT)
- …and help us put health first** The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge ... and/or benefit administration determinations. The Senior Utilization Management Behavioral Health Professional work assignments involve moderately… more
- Centene Corporation (Tallahassee, FL)
- …workplace flexibility. **Centene is hiring!** **We're looking for two remote Supervisors of Behavioral Health Utilization Management to support our Florida ... prior authorizations.** **If you have experience in managed care, behavioral health utilization review, and...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Centene Corporation (Jackson, MS)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Sutter Health (Berkeley, CA)
- We are so glad you are interested in joining Sutter Health ! **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** Provides a variety of ... professional clerical and administrative support to a director level...replacement. COMPLIANCE: *Maintains strictest confidence of all patients protected health information (PHI) and protects all PHI from accidental,… more
- Elevance Health (Indianapolis, IN)
- …Chicago IL, or Atlanta GA, Woodland Hills, CA. **Summary** The Behavioral Health Chief Medical Officer oversees Utilization Review, Peer Review and the ... Management:** Prior leadership role in a managed care environment and possess strong utilization management experience. + ** Behavioral Health & Chemical… more
- Elevance Health (Costa Mesa, CA)
- …care. The **Manager II Behavioral Health Services** will be responsible for Behavioral Health Utilization Management (BH UM), or Behavioral ... **Manager II Behavioral Health Services** **Location:** This position...Psychologist such as Psy.D. Ph.D. to practice as a health professional within the scope of licensure… more
- Independent Health (Buffalo, NY)
- …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Behavioral Health Utilization Review Clinician will primarily be ... responsible for managing behavioral health benefits through utilization ...as case management activities. **Qualifications** + Masters level licensed behavioral health professional (such as… more
- Humana (Boston, MA)
- …Qualifications** + Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health ; MED-Deeming ... degree. + Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management +...standards knowledge is a plus. + Registered Nurse or Behavioral Health Licensed Professional . +… more
- Community Health Network (Westfield, IN)
- Behavioral Health Consultant- LCSW, LMHC, or LMFT- Westfield Job Ref 2503020 Category Behavioral Health Job Family Behavioral Health Therapist, ... couldn't do it without you. **Make a Difference** The Behavioral Health Consultant provides direct patient/family care...required. - 2 + years of experience providing mental health treatment required. - Utilization of conventional… 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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