- CVS Health (Oklahoma City, OK)
- …Clinical Reviewer (LCSW, LCPC, RN)** Licensed clinical professional with a passion for behavioral health and a strong background in psychiatric care. As a ... LCPC, or RN. + Experience in a psychiatric or behavioral health setting required. + Strong knowledge...utilization review experience preferred + Experience in a behavioral health inpatient setting + Ability to… more
- CVS Health (Montgomery, AL)
- …such as ambulatory care or outpatient clinic/facility. + Valid unrestricted independent professional behavioral health clinical license to practice per ... clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus.… more
- Common Ground (Flint, MI)
- Exciting Career Opportunity! The Behavioral Health Utilization Management (UM) Specialist is responsible for reviewing and evaluating mental health and ... hour, plus applicable shift differential. Key Responsibilities + Conduct utilization reviews for behavioral health ...disorder Certifications + Meets criteria as a Qualified Mental Health Professional (QMHP) defined by the State… more
- Centene Corporation (Tallahassee, FL)
- …**: LCSW, LMHC, LPC, LMFT, or LMHP.** **Position Purpose:** Leads and directs the behavioral health (BH) utilization management team to ensure appropriate ... the development, implementation, monitoring, and ongoing improvement of the behavioral health (BH) utilization management...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Centene Corporation (Phoenix, AZ)
- …**REMOTE:** Must reside and be licensed in Arizona **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure ... of BH utilization management team. + Monitors behavioral health (BH) utilization review...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Centene Corporation (Atlanta, GA)
- …Time Zone hours.** **The ideal candidate will have experience in behavioral health utilization management.** **Education/Experience:** Requires Graduate ... regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- CDPHP (Latham, NY)
- …with hospitalizations and focused on helping members who are hospitalized with behavioral health needs. This includes members admitted to psychiatric units, ... York State license is required) + In lieu of behavioral health license, Registered Nurse with valid...a hospital setting required. + Minimum one (1) year quality/ utilization management experience in health care setting… more
- Omaha Children's Hospital (Omaha, NE)
- …us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are ... opportunity employer including veterans and people with disabilities. **A Brief Overview** Utilization Management (UM) is a specialty area of Nursing Case Management… 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
- Molina Healthcare (San Francisco, CA)
- …Association** Active, unrestricted Utilization Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.… more
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