- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- CVS Health (Sacramento, CA)
- … Management experience. + Valid California unrestricted independent professional behavioral health clinical license **Education** + If RN, Bachelor's degree ... coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health services. Applies… more
- CVS Health (Frankfort, KY)
- …FOR LICENSING DETAILS_** This is a fulltime remote Utilization Management Clinical Consultant opportunity with Aetna Better Health of Kentucky. ... management function. **Required Qualifications** + **_Kentucky Licensed Independent Behavioral Health Clinician (_** **_LPCC, LCSW, LMFT, LPAT_** **_)… more
- Centene Corporation (Salem, OR)
- …is required. + Direct experience with Utilization Review or Utilization Management related to Behavioral Health case is preferred + Clinical ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within… more
- UnityPoint Health (Cedar Rapids, IA)
- …Shift: 40 Hours Per Week + Job ID: 168048 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves ... a fulfilling career and make a difference with UnityPoint Health . Responsibilities Utilization Management +...related field or an RN + Two years of behavioral health work experience. + Professional communication… more
- Defense Health Agency (Falls Church, VA)
- …Training (BHTRAINING); BHSL Utilization Management (BHSL UM); Primary Care Behavioral Health (PCBH); and BH Support of Traumatic Brain Injury Treatment ... will use their Behavioral Health expertise to serve as the Behavioral Health Clinical Management Team Lead (BHSL) for the DHN. Employee functions as… more
- Centene Corporation (Tallahassee, FL)
- …as experience in applied behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder… more
- CVS Health (Tallahassee, FL)
- …appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and physical health ... Mileage is reimbursed per our company expense reimbursement policy **Preferred Qualifications:** . Behavioral Health Experience . Case management in an… more
- Centene Corporation (Raleigh, NC)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...WORK 10 HOURS.** **THIS ROLE WILL MAINLY SUPPORT MEDICARE BEHAVIORAL HEALTH ALL STATES AND DELAWARE MEDICAID… more
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