- Humana (Springfield, IL)
- …us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional who utilizes ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- Spectrum Billing Solutions (Skokie, IL)
- …+ Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR Specialist ... Review Specialist | ABA Utilization Review Specialist | ABA Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing… more
- Trinity Health (Berwyn, IL)
- …the department. **OUTPATIENT:** Conducts group therapy sessions and performs case management responsibilities for behavioral health patients participating ... opportunity for a LCPC/LCSW in the Outpatient Counseling Clinic - Berwyn, Illinois. The Behavioral Health team is seeking future colleagues with a passion to… more
- Humana (Springfield, IL)
- …administration and strategic management of behavioral and physical health services, including Utilization Management (UM), Quality Improvement, and ... specialists + Develops comprehensive care programs for the management of adult behavioral health ...Management (QM) program; and work closely with the Utilization Management (UM) of services and associated… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Behavioral Health Strategy Lead Behavioral Health Executive Leader (known ... to Humana as a Behavioral Health Strategy Lead role) is responsible for defining, implementing, and advancing the strategic vision of behavioral health … more
- Health Care Service Corporation (Chicago, IL)
- …+ Board certified in psychiatry in good standing. + 5 years clinical experience in behavioral health care management . + Located in a state or territory ... A Board Certified Psychiatrist Responsible For Medical Necessity Determinations With Respect To Behavioral Health Disorders At All Levels Of Care Which Includes… more
- Centene Corporation (Great Lakes, IL)
- …perspective on workplace flexibility. **On-Site Opportunity** **Centene is hiring a On-Site Behavioral Health Care Manager in Waukegan, Illinois.** **Are you a ... Illinois Health Plan is hiring a On-Site Behavioral Health Care Manager to work on-site...in the State of Illinois** + **Experience in case management and/or utilization management ** +… more
- CVS Health (Springfield, IL)
- …oversight to all areas within the clinical services including Care Management , Utilization Management , Population Health , Health Equity and Quality ... Health Service Officer, and other executive team members in managing all Behavioral Health activities by driving clinical excellence, achieving measurable … more
- Highmark Health (Springfield, IL)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/ Management or Public Health **EXPERIENCE** **Required** + 5 years… more
- Elevance Health (Chicago, IL)
- …to day clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for ... medical director provides clinical expertise in all aspects of utilization review and case management . Provides input...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more