- AmeriHealth Caritas (Charleston, SC)
- …us at www.amerihealthcaritas.com . **Responsibilities:** Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer is ... pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services....+ Minimum of 2 years of behavioral health and substance use disorder experience.; + Utilization… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The Manager, Behavioral Health Utilization Management uses clinical knowledge, communication ... other managers across the department. **_Detailed Responsibilities include:_** Leads Kentucky Medicaid Behavioral Health Utilization Management process… more
- CVS Health (Frankfort, KY)
- …/benefit management program. **Required Qualifications** + Licensed independent behavioral health clinician with Kentucky state licensure (LCSW, LPCC, ... **Position Summary** This Clinical Consultant position is with Aetna's Utilization Management (UM) team and is a...States. The requirements is for candidates to hold a Behavioral health clinician or Registered Nursing with… more
- Centene Corporation (Phoenix, AZ)
- …appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization ... Arizona for this remote position.** **Position Purpose:** Supervises the behavioral health (BH) utilization review...performance, quality, and efficiency standards + Works with BH utilization management team to resolve complex BH… more
- Corewell Health (St. Joseph, MI)
- …appropriateness of inpatient admissions and continued stay. Educates medical staff/other health care professionals regarding utilization management and ... quality requirements. Makes recommendations and provides financial and utilization management (UM) information to other members of the care facilitation teams… more
- Humana (Jefferson City, MO)
- …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
- Elevance Health (Los Angeles, CA)
- …care. The **Manager II Behavioral Health Services** will be responsible for Behavioral Health Utilization Management (BH UM), or Behavioral ... **Manager II Behavioral Health Services** **Location:** This position...and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience, which includes a minimum… more
- Elevance Health (Houston, TX)
- …Prairie, TX The **Manager Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral ... **Manager Behavioral Health Services** The ideal candidate...and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of… more
- CVS Health (Salt Lake City, UT)
- …(MST), Pacific Time (PST), or Arizona time zones. As a ** Utilization Management Clinician Behavioral Health ** you will: - Utilize clinical experience ... management function. **Required Qualifications** - Valid unrestricted independent professional behavioral health clinical license to practice per state… more
- Elevance Health (Indianapolis, IN)
- …role in a managed care environment and possess strong utilization management experience. + ** Behavioral Health & Chemical Dependency:** Substantial ... Behavioral Health offers superior clinical mental health and substance use disorder management , a...GA, Woodland Hills, CA. **Summary** The Behavioral Health Chief Medical Officer oversees Utilization Review,… more