• UM Behavioral Health…

    Humana (Sacramento, CA)
    …of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health ... of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are… more
    Humana (09/04/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Los Angeles, CA)
    **JR162375 Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... with an emphasis on Outpatient Providers. + Performs timely Behavioral Health utilization reviews. + Work with...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… more
    Elevance Health (09/05/25)
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  • Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …Sharp Health Plan's (SHP) physicians (Medical Directors (both medical and behavioral health ) and the Physician Reviewers) to coordinate the necessary ... co-management of our members related to their medical, behavioral health and pharmacy needs. This position...IT management, etc. + Plans, organizes, and directs the professional medical services program, consisting of all primary and… more
    Sharp HealthCare (07/19/25)
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  • Enhanced Care Management Clinical Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Management ( UM ), Managed Long Term Services and Support (MLTSS), Social Services, Behavioral Health , Community Health , Health Education, as well ... to clinically analyze the most complex cases involving highly acute physical health , behavioral health , complex/catastrophic and/or psychosocial issues to… more
    LA Care Health Plan (07/16/25)
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  • Medical Director-PSCCR

    Elevance Health (Los Angeles, CA)
    …The **Medical Director-PSCCR** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. + Identifies and develops opportunities… more
    Elevance Health (09/10/25)
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