- Blue Shield of California (El Dorado Hills, CA)
- …Health Utilization Management, Consultant (Lead), will report to the Manager of Behavioral Health Utilization Management (BH UM ). In this role you ... Job Description Your Role The Behavioral Health (BH) Utilization Management ( UM ) team... Behavioral Health (BH) Utilization Management ( UM ) team performs prospective, concurrent, retrospective utilization reviews and… more
- Blue Shield of California (Oakland, CA)
- …Health Utilization Management Clinician, Experienced, will report to the Manager of Behavioral Health Utilization Management (BH UM ). In this role you ... Job Description Your Role The Behavioral Health Utilization Management team performs...Meetings and case consultations with Medical Director and/or Licensed Manager Recognize the members right to self-determination as it… more
- Parkland Health and Hospital System (Dallas, TX)
- …tracking and monitoring regulatory deliverables, supporting the health services (physical health and behavioral health ) teams with regulatory and ... requirements. Conduct routine and targeted audits of clinical operations for physical health and behavioral health , that includes service coordination,… more
- University of Maryland Medical System (Baltimore, MD)
- Company Description Join the UM Rehab Team! At UM Rehab, we offer an unparalleled opportunity to work in a setting that seamlessly blends elements of acute care, ... treating highly complex cases, including coma-emerging patients and individuals with behavioral challenges, ensuring they receive the specialized care needed for… more
- Guidehealth (Rockford, IL)
- …outreach, data collection and analyzation, reporting, clinical review, medical and behavioral health assessments, and documentation in compliance with ... as a collaborative health partner in their health care team. As an RN Case Manager...all computer programs, medical records, and data. Participation in QM/ UM Committee Meetings including material preparation, minutes, data collection,… more
- Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
- …care with available community resources. Researching and coordinating care with member's behavioral health provider. Informing members about their plan benefits. ... are agreeable to participating in case management. The case manager will continue case management services until the time...Medical Director Rounds and BH Collaborative Meeting. Collaborate with behavioral health MCOs and the member to… more
- University of Maryland Medical System (Upper Marlboro, MD)
- …Registered Nurse (RN) - Emergency Department Part-time / Day Shift (7:30am - 8:00pm) UM Capital Region Health - Largo, MD General Summary This role is ... the heart of Prince George's County, our new state-of-the-art regional medical center ( UM Capital Region Medical Center) will provide improved access to primary and… 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
- Magellan Health Services (Boise, ID)
- …LCSW, LSW, LPC or RN. Minimum 2 years experience post degree in healthcare, behavioral health , psychiatric and/or substance abuse health care setting. Strong ... the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or...influence quality of care. General Job Information Title Care Manager ( UM /UR) - Remote, Idaho Licensed Grade… more
- Elevance Health (Cerritos, CA)
- …and depression, and insightful analytics to improve the delivery of care. **Title:** Behavioral Health Care Manager II **Location:** Woodland Hills, CA ... and ensures essential face-to-face onboarding and skill development. The ** Behavioral Health Care Manager II**...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral… more
