- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... action. + Minimum one, (1) year of experience in Behavioral Health Nursing (inpatient outpatient, psych, substance...Nursing experience + Previous experience in utilization management with ASAM knowledge + Health Plan… more
- Centene Corporation (San Antonio, 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
- Humana (Austin, TX)
- …Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health ; MED-Deeming accreditation standards ... degree. + Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management...knowledge is a plus. + Registered Nurse or Behavioral Health Licensed Professional. + Managed care,… more
- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Senior Utilization Management Behavioral Health Professional utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Senior Utilization Management Behavioral Health Professional work… more
- Evolent (Austin, TX)
- …the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, … more
- Elevance Health (Grand Prairie, TX)
- …Skills, Capabilities and Experiences** : + Experience in Utilization Management preferred. + Board Certified Behavioral Analyst (BCBA) or Licensed ... 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
- Molina Healthcare (San Antonio, TX)
- …state they reside. We are looking for a RN Manager to manage a utilization management team supporting 14 Marketplace plans. Home office with internet ... cover any weekend time if needed Preferred candidate with Utilization Management and leadership experience (Direct Reports)...an integrated delivery of care across the continuum, including behavioral health and long-term care, for members… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- … health -related specialized needs related to the care of detained non-citizens. Behavioral Health Case Management Facilitates referral to psychiatric ... Service Corps (IHSC), Office of the Deputy Assistant Director of Clinical Services, Behavioral Health Unit (BHU). This position is supervisory. This position is… more
- Vighter Medical Group (San Antonio, TX)
- National Behavioral Health Advisor, San Antonio, TX Job Details Job Location Vighter Corporate Office (HQs) - San Antonio, TX Position Type Full Time Education ... Job Category Health Care Description Title: National Behavioral Health Advisor (LPC) Location: San Antonio,...of sector wide BH programing to optimize access and utilization . + Coordinate with Onsite Employee Assistance Program (EAP)… more
- Immigration and Customs Enforcement (Conroe, TX)
- …improvement activities/risk identification and management directly related to mental health . Coordinates alongside HQ behavioral health unit for ... Service Corps (IHSC), Office of the Deputy Assistant Director of Clinical Services, Behavioral Health Unit. This position is supervisory. This position is only… more