- CVS Health (Phoenix, AZ)
- …meaningful difference in the lives of children and adolescents? Join Mercy Care as a Behavioral Health Utilization Management Clinician and become part ... of Child Safety (DCS). + Knowledge of Behavioral Health Outpatient Services. + Utilization Management (UM) Experience. **Education** + Master's degree… more
- Elevance Health (Wallingford, CT)
- …workplace. Alternate locations may be considered. This position will be directly responsible for Behavioral Health Utilization Management (BH UM) only ... The **Manager Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case… more
- Centene Corporation (Tallahassee, FL)
- …as experience in applied behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder… more
- CVS Health (Raleigh, NC)
- …schedules will include weekends, holidays, and evening hours._ As a Utilization Management Clinician - Behavioral Health you will utilizes clinical ... and keyboarding + Must have active current and unrestricted Behavioral Health clinical licensure (LPC, LMSW, LSW,...Friday with flexible hours between 10:00am to 8:00pm EST. Utilization Management is a 24/7 operation and… more
- Elevance Health (Atlanta, GA)
- …and a minimum of 3 years experience in quality improvement and/or behavioral health , risk management and/or utilization review in a managed care setting ... **Be Part of an Extraordinary Team** ** Behavioral Health Clinical Quality Audit Analyst**...audits of required documents. Will work within the Quality Management Department and the Georgia Collaborative. Will be responsible… more
- Elevance Health (Baton Rouge, LA)
- …and a minimum of 3 years experience in quality improvement and/or behavioral health , risk management and/or utilization review in a managed care setting ... studies including, but not limited to the development and implementation of behavioral health outcomes improvement interventions such as newsletter article,… more
- Elevance Health (Cerritos, CA)
- …and Experiences:** + 2+ years of experience in a managed care organization in a utilization management behavioral health role preferred. For candidates ... 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
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health , Pharmacy, Registered ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Behavioral Health Utilization Review Nurse RN you want with your current employer? ... of colleagues. Do you want to work as a Behavioral Health Utilization Review Nurse... experience required + 1- 3 years relevant case management / utilization review experience preferred +… more
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