- Humana (Tell City, IN)
- …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- Ascension Health (Indianapolis, IN)
- …of: + Discharge planning + Medicare/Medicaid regulations + Utilization review and management + Behavioral health and social determinants of health ... **Details** + **Department: Case Management - Central Region** + **Hospital: Ascension St. Vincent**...transfer date. + Social Worker credentialed from the Indiana Behavioral Health and Human Services Licensing Board… more
- Elevance Health (Indianapolis, IN)
- …insightful analytics to improve the delivery of care. **Title** : Behavioral Health Care Manager- Utilization Management **Location:** **Virtual** : This ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad… more
- Community Health Network (Westfield, IN)
- …and facilitates trainings on specific bio-psychosocial approaches for the team. Assists with management of urgent behavioral health needs with medical ... Behavioral Health Consultant- LCSW, LMHC, or...required. - 2 + years of experience providing mental health treatment required. - Utilization of conventional… more
- Elevance Health (Wilkinson, IN)
- …ensuring fidelity to the CFSP Care Management model which includes physical health , behavioral health , and social services. Primary duties may include, ... access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy,_ _Intellectual/Developmental_ _Disabilities (I/DD)… more
- Ascension Health (Indianapolis, IN)
- …to hire date or job transfer date. + Social Worker credentialed from the Indiana Behavioral Health and Human Services Licensing Board obtained prior to hire date ... areas of utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and revise assignments daily to… more
- Highmark Health (Indianapolis, IN)
- …of clinical, case/ utilization management and/or disease/condition management experience, or provider operations and/or health insurance experience ... health status/severity and clinical needs; and assesses health management needs of the assigned member...clinical care is being provided. **Preferred** + Certification in utilization management or a related field +… more
- Liberty Healthcare Corporation (Indianapolis, IN)
- Behavioral health professionals are encouraged to consider an outstanding career opportunity with Liberty Behavioral Health Corporation. A full-time ... is available with Liberty and the Indiana Sex Offender Management and Monitoring Program. The mission of the Indiana...to help a significant number of people improve their behavioral health , prevent sexual abuse and victimization,… more
- Parkview Health (Fort Wayne, IN)
- Summary Coordinates, verifies, negotiates alternatives and manages the care of Parkview Behavioral Health (PBH) patients to facilitate the achievement of quality ... group. Participates in quality improvement and evaluation processes related to the management of care. Provides mentoring with staff in understanding and working in… more
- Highmark Health (Indianapolis, IN)
- …Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care services, ... utilization , identification of opportunities for referral to a Health Coach/case management , and identification and resolution...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more