- Actalent (Sunrise, FL)
- Utilization Management Behavioral Health ClinicianUtilization Management Behavioral Health Clinician We're seeking a dedicated Behavioral ... Health Clinician to join our Utilization Management team. In this role, you'll collaborate with an...Conduct utilization reviews and service authorizations for behavioral health and substance use treatments. +… more
- CVS Health (Richmond, VA)
- …No weekends or holidays. + 1+ years of utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in ... clinically appropriate treatment, evidence based care an clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. +… more
- Centene Corporation (Austin, TX)
- …appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization ... CANDIDATE WILL HAVE BCBA CERTIFICATION **Position Purpose:** Supervises the behavioral health (BH) utilization review...performance, quality, and efficiency standards + Works with BH utilization management team to resolve complex BH… more
- CVS Health (Harrisburg, PA)
- …every day. **Position Summary** This is a full-time, remote position. The Medicare Behavioral Health Outpatient clinician will be part of the Medicare ... to promote quality effectiveness of healthcare services and benefit utilization . The Utilization Management Clinician...and no weekends. **Required Qualifications** + 3+ years of behavioral health clinical experience + Must have… more
- Centene Corporation (Austin, TX)
- …and substance abuse is preferred. + Utilization Review/ Utilization management with behavioral health cases + Precertification, Concurrent Review, ... 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
- 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
- CVS Health (Phoenix, AZ)
- …solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. **Key ... Apply critical thinking and evidence-based clinical criteria specific to Behavioral Health and Substance Abuse to evaluate...a computer. + Flexibility to provide coverage for other Utilization Management (UM) nurses across various UM… more
- San Antonio Behavioral Health (San Antonio, TX)
- …changed with or without notice. Knowledge Skills and Abilities . Relevant experience in utilization management , behavioral health , or a related clinical ... Director of Utilization Review (UR) in a behavioral health setting oversees the UR process,...with clinical staff to ensure optimal patient outcomes. Overseas utilization management and criteria-based reviews of care,… more
- Actalent (Sunrise, FL)
- … Behavioral Health Utilization Review Specialist conducts comprehensive utilization management activities for behavioral health plan members. ... Job Title: Behavioral Health Utilization Review...assigned. Essential Skills + Proficiency in clinical review and utilization management . + Knowledge of Interqual and… more
- Elevance Health (Los Angeles, CA)
- …and Experiences:** + 2+ years of experience in a managed care organization in a utilization management behavioral health role preferred. For candidates ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...is licensed staff supervision. + Previous experience in case management / utilization management with a broad… more
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