- Common Ground (Flint, MI)
- Exciting Career Opportunity! The Behavioral Health Utilization Management (UM) Specialist is responsible for reviewing and evaluating mental health ... LPC, MLP) required. Experience + 2+ years in behavioral health clinical practice and/or utilization management . + Minimum of 3 years in diagnosing,… more
- Centene Corporation (Tallahassee, FL)
- …LPC, LMFT, or LMHP.** **Position Purpose:** Leads and directs the behavioral health (BH) utilization management team to ensure appropriate member care. ... implementation, monitoring, and ongoing improvement of the behavioral health (BH) utilization management process + Provides BH senior leadership team… more
- CVS Health (Oklahoma City, OK)
- …+ Managed care/ utilization review experience preferred + Experience in a behavioral health inpatient setting + Ability to multitask, prioritize and ... And we do it all with heart, each and every day. **Position Summary: Behavioral Health Clinical Reviewer (LCSW, LCPC, RN)** Licensed clinical professional with a… more
- Centene Corporation (Atlanta, GA)
- …Eastern Time Zone hours.** **The ideal candidate will have experience in behavioral health utilization management .** **Education/Experience:** Requires ... 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 (Charleston, WV)
- …us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional who utilizes ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- Molina Healthcare (Davenport, IA)
- …chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and… more
- Actalent (Fort Lauderdale, FL)
- …and present reports on department activities as assigned. Essential Skills + Utilization management + Behavioral Health + Mental Health + Clinical ... Actalent is Hiring a Behavioral Health Utilization Review...Review Nurse Job Description We are seeking a dedicated Utilization Management Nurse (UMN) who will work… more
- Actalent (Sunrise, FL)
- …and present reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health , and mental ... Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing… more
- Elevance Health (Grand Prairie, TX)
- …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 ... **JR167284 Behavioral Health Clinical Quality Audit Analyst, Sr** Responsible for maintaining crisis accreditation and developing, delivering and evaluating… more
- CVS Health (Frankfort, KY)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... ambulatory care or outpatient clinic/facility. + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations… more