• Manager , UM Behavioral…

    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
    Humana (05/30/25)
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  • HMSA Care Manager - BH, UM Reviewer…

    Magellan Health Services (Honolulu, HI)
    …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...quality of care. General Job Information Title HMSA Care Manager - BH, UM Reviewer - Remote… more
    Magellan Health Services (05/28/25)
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  • Transplant Care Nurse RN - Stem Cell, Bone Marrow…

    Highmark Health (Carson City, NV)
    …panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of ... various resources to assist members in achieving their personal health goals. Will work with providers to insure quality...and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create… more
    Highmark Health (04/25/25)
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  • Behavioral Health Care…

    Elevance Health (Los Angeles, 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
    Elevance Health (06/05/25)
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  • Behavioral Health Care…

    Elevance Health (Richmond, VA)
    …a LCSW or an LPC. Virginia licensure is strongly preferred but not required. The ** Behavioral Health Care Manager II - Virginia** is responsible for managing ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral… more
    Elevance Health (06/03/25)
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  • RN Case Manager - Behavioral…

    Omaha Children's Hospital (Omaha, NE)
    **Now hiring for the region's first-of-its-kind Behavioral Health & Wellness Center. A place where innovation meets compassion.** **Positions are anticipated to ... our patients and families-from primary and specialty care to behavioral health services and everything in between....and processes. Communicates and collaborates with the Utilization Management ( UM ) Nurse, or other NCMs as necessary to provide… more
    Omaha Children's Hospital (05/23/25)
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  • Behavioral Case Manager II

    Elevance Health (New Hyde Park, NY)
    …autism and depression, and insightful analytics to improve the delivery of care. **Title:** Behavioral Health Case Manager II **Candidates must posses a New ... EST **Build the Possibilities. Make an extraordinary impact.** The Behavioral Health Case Manager II...healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Conducts assessments to… more
    Elevance Health (05/22/25)
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  • Case Manager , Licensed Behavioral…

    Excellus BlueCross BlueShield (Rochester, NY)
    … health care cost drivers. Essential Accountabilities: Level I * Handles behavioral health member clinical management programs. * Maintains knowledge of ... health care services. Examples may include Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian and Respiratory Therapist *… more
    Excellus BlueCross BlueShield (05/31/25)
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  • Behavioral Health RN Case…

    Children's Hospital Boston (Boston, MA)
    80501BRJob Posting Title: Behavioral Health RN Case Manager - 20hrsDepartment:Patient Services-Patient Care ... health community based services and those included in the Child Behavioral Health Initiative + Possessing understanding of the concurrent review process… more
    Children's Hospital Boston (06/05/25)
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  • Case Manager , RN or Licensed…

    Excellus BlueCross BlueShield (Rochester, NY)
    … health care services. Examples may include: Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian and Respiratory Therapist + ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
    Excellus BlueCross BlueShield (05/29/25)
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