- Centene Corporation (OR)
- …without restrictions * American Board certified in Child/Adolescent Psychiatry * Utilization Management experience and knowledge of quality accreditation ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...business unit. * Provides medical leadership of all for utilization management , cost containment, and medical quality… more
- Commonwealth Care Alliance (Boston, MA)
- …Utilization Mgmt - Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and ... of health plan QI Committee. Co-chair of health plan Utilization Management Committee...five (5) years of clinical experience in medical or behavioral health care delivery Required Knowledge, Skills… more
- Commonwealth Care Alliance (Boston, MA)
- …The Director provides leadership, to clinicians, contracted employees and partners regarding behavioral health /substance abuse treatment and management and ... for promoting high standards of integrated behavioral health care delivery and care management practice...attention to detail - Able to support teams with utilization of telehealth technologies (video, chat, etc.), when appropriate,… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …deep knowledge of care management across diverse populations \(NICU, maternity, behavioral health , complex care, etc\.\) \. + **Strategic Leadership:** **5** ... + 5 years - progressive leadership experience in care management , utilization management , clinical operations, or health plan operations required… more
- Centene (LA)
- …team and make a meaningful impact on the lives of individuals receiving outpatient behavioral health care in Louisiana. * The ideal candidate will: * Hold ... active Louisiana Psychologist license * Be passionate about delivering high-quality, evidence-based behavioral health care * Support Louisiana to ensure clinical… more
- Battelle Memorial Institute (Columbus, OH)
- …**Responsibilities** + Assist with the management and treatment of outpatient behavioral health activities + Under the supervision of a licensed ... working in a dynamic, mission-driven environment. This position supports outpatient behavioral health activities by conducting intake interviews, assisting with… more
- Commonwealth Care Alliance (Boston, MA)
- …to support dual eligible populations - Experience in behavioral health clinical practice, provider relations, or healthcare management Desired Experience ... 011230 CA-Provider Engagement & Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating… more
- Moses/Weitzman Health System (Meriden, CT)
- …the country's most creative and dynamic providers of primary medical, dental, and behavioral health services, and a leader in practice-based research, health ... client's health care needs. Participates with Community Health Center management in developing and achieving...for quality. We employ several hundred medical, dental, and behavioral health providers who are engaged in… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …of practice **(Required)** :- For nurses, required registration (eg RN, ARNP).- For behavioral health , required licensure (eg LMFT, LICSW, LPC, LMHC)- For ... to Fortune 100 companies. Our services include innovative programs focused on health management , wellness, prevention, and patient safety. We deliver these… more
- Stanford Health Care (Palo Alto, CA)
- …+ Knowledge of social work and the needs of service line (oncology, behavioral health , inpatient surgical and medical) patients and families + Knowledge ... systems and services. Oversees service line efficiencies to ensure appropriate utilization of Health System resources including patient financial assistance.… more
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