- 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
- Stanford Health Care (Palo Alto, CA)
- …practice. Here, your leadership, coaching, and mentoring would further develop our robust, Utilization Management team. Are you driven by health care innovation, ... an RN - 3+ years of experience in case management / utilization review Why work at Stanford Medicine...evidence-based and patient-centered care. We are seeking a results-driven manager to further develop the framework for clinical, operational,… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- Prime Healthcare (National City, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/205657/case- manager pvh- utilization - management ... emergency services. In addition to our healthcare services, we offer comprehensive behavioral health services on the hospital campus and Bayview campus in Chula… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our ... Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management… more
- Prime Healthcare (Anaheim, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/199249/case- manager utilization - management ... and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more… more
- AmeriHealth Caritas (Newtown Square, PA)
- …more about us at www.amerihealthcaritas.com. **Responsibilities:** The Medical Director, Utilization Management provides organizational leadership in the ... policy and practice initiatives in collaboration with the Corporate Medical Director(s), Utilization Management and the Vice President, Medical Affairs. ;The… more
- Elevance Health (Houston, TX)
- ** Manager Behavioral Health Services** The ideal... Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH ... UM), or Behavioral Health Case Management (BH CM) or a combination of both functions...and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of… more
- Elevance Health (Norfolk, VA)
- …reside and hold licensure in the state of Virginia.** The ** Manager of Behavioral Health - Virginia SED/SMI Case Management ** will be responsible for leading ... a team of behavioral health clinicians and non-licensed support staff to provide SED/SMI Case Management services. Primary duties may include but are not limited… more
- Elevance Health (Los Angeles, CA)
- …The ** Manager II Behavioral Health Services** will be responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health ... ** Manager II Behavioral Health Services** **Location:**...and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience, which includes a minimum… more