- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Behavioral Health Utilization Review Specialist you want with your current ... a committed, caring group of colleagues. Do you want to work as a Behavioral Health Utilization Review Specialist where your passion for creating… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Behavioral Health Utilization Review Specialist? At Parallon, you come ... you have the opportunity to make a difference. We are looking for a dedicated Behavioral Health Utilization Review Specialist like you to be a part of… more
- Centene Corporation (Phoenix, AZ)
- …Arizona for this remote position.** **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care ... BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines +… more
- Centene Corporation (Madison, WI)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and...health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review… more
- Elevance Health (Indianapolis, IN)
- …Hills, CA. **Summary** The Behavioral Health Chief Medical Officer oversees Utilization Review , Peer Review and the Regional CMO's and Medical ... Management:** Prior leadership role in a managed care environment and possess strong utilization management experience. + ** Behavioral Health & Chemical… more
- Spectrum Billing Solutions (Skokie, IL)
- …conference reviews. Minimum requirements: + 3-5 years of experience in utilization review for behavioral health services. + Bachelor's or Master's ... for healthcare organizations. We are looking to add a Utilization Review (UR) Supervisor to our growing...(Word, Excel, billing software). + Understanding of mental and behavioral health treatment services. At Spectrum, you… more
- Lincoln Financial (Montgomery, AL)
- …1 year in claims, disability management (STD/LTD), worker's compensation, utilization review , and or behavioral health case management . Certified ... are excited to bring on a knowledgeable and motivated Behavioral Health Consultant to our Clinical Organization....disability claims. You will act as a resource to review , analyze, and interpret medical information as well as… more
- Tufts Medicine (Malden, MA)
- …strategic plan, ensuring integration with Tufts Medicine's overall behavioral health strategy. + Oversee clinical resource management, utilization review ... system in Massachusetts, and Acadia Healthcare, the nation's largest standalone behavioral health provider, have partnered to establish the Tufts Medicine… more
- CVS Health (Frankfort, KY)
- … utilization /benefit management program. **Required Qualifications** + Licensed independent behavioral health clinician with Kentucky state licensure (LCSW, ... anywhere in the United States. The requirements is for candidates to hold a Behavioral health clinician or Registered Nursing with Kentucky state or compact… more
- Humana (Frankfort, KY)
- …our caring community and help us put health first** The Manager, Behavioral Health Utilization Management uses clinical knowledge, communication skills, ... managers across the department. **_Detailed Responsibilities include:_** Leads Kentucky Medicaid Behavioral Health Utilization Management process and teams… more