- Elevance Health (Atlanta, GA)
- **JR167284 Behavioral Health Clinical Quality Audit Analyst, Sr** Responsible for maintaining crisis accreditation and developing, delivering and ... or related field and a minimum of 3 years experience in quality improvement and/or behavioral health , risk management and/or utilization review in a managed… more
- Molina Healthcare (Augusta, GA)
- …and medical necessity review criteria. * Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality ... clinical reviews, peer reviews and appeals. * Supports behavioral health committees for quality ... committees for quality compliance. * Implements behavioral health specific clinical practice… more
- Elevance Health (Atlanta, GA)
- …Manager II** A proud member of the Elevance Health family of companies, **Carelon Behavioral Health ** , offers superior clinical mental health and ... (EST) business hours with** **some weekends based upon organizational/business needs.** The ** Behavioral Health Care Manager II** is responsible for managing… more
- HCA Healthcare (Waycross, GA)
- …measures effectiveness of that plan to demonstrate clinical excellence; coordinate Behavioral Health Service Division quality initiatives with facility; ... knowledge and expertise! **Job Summary and Qualifications** The Behavioral Health Program Director is responsible for ensuring clinical excellence, operating… more
- Elevance Health (Atlanta, GA)
- …are required for this position. **Preferred Skills, Capabilities, and Experiences:** + Clinical experience in behavioral health preferred. + Experience ... ** Behavioral Health Case Manager I** **Virtual:**...LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health … more
- Elevance Health (Atlanta, GA)
- …Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental health and substance use ... to improve the delivery of care. **Regional Vice President (RVP) Provider Solutions, Behavioral Health (East Region)** **Location:** May be located in any… more
- Molina Healthcare (GA)
- …some or all of the following functions: care management, utilization management, behavioral health , care transitions, long-term services and supports (LTSS), ... management (prior authorizations, inpatient/outpatient medical necessity, etc.), transition of care, health management, behavioral health , long-term services… more
- Morehouse School Of Medicine (Atlanta, GA)
- …Morehouse Healthcare (MHC) Position Summary The Director of Behavioral Health provides strategic leadership, operational oversight, and clinical supervision ... Director of Behavioral Health Bookmark this Posting Print...The Director is responsible for ensuring the delivery of high- quality , evidence-based mental health services in an… more
- Centene Corporation (Atlanta, GA)
- …required licensure as outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to ... changes everything for our 28 million members as a clinical professional on our Medical Management/ Health Services...regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
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