- Humana (Atlanta, GA)
- …our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the ... health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and… more
- Magellan Health Services (Boise, ID)
- …for RN, Masters or Doctoral level provider. General Job Information Title Clinical Manager, Behavioral Health ( UM ) -Licensed, Remote in Idaho Grade 27 Work ... and providers. Thorough knowledge of healthcare services in physical health , behavioral health or other...Professional Counselor - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care MgmtCare… 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 ... members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings.… more
- CVS Health (Oklahoma City, OK)
- …**Required** **Qualifications** : + Unrestricted OK state independent Behavioral Health clinicianlicense or a Registered Nurse (RN) with psychiatric ... clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus.… more
- CVS Health (Santa Fe, NM)
- …be at the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate, evidence-based care. You'll ... **Position Summary** We are seeking a dedicated Utilization Management ( UM ) Nurse to join our remote team....Apply critical thinking and evidence-based clinical criteria specific to Behavioral Health to evaluate inpatient and outpatient… more
- Omaha Children's Hospital (Omaha, NE)
- …including veterans and people with disabilities. **A Brief Overview** Utilization Management ( UM ) is a specialty area of Nursing Case Management (NCM) and is ... demonstrates the appropriate intensity of service for the severity of illness. UM includes retrospective and concurrent clinical reviews with third-party payors and… more
- Omaha Children's Hospital (Omaha, NE)
- …including veterans and people with disabilities. **A Brief Overview** Utilization Management ( UM ) is a specialty area of Nursing Case Management (NCM) and is ... demonstrates the appropriate intensity of service for the severity of illness. UM includes retrospective and concurrent clinical reviews with third-party payors and… more
- LA Care Health Plan (Los Angeles, CA)
- …and clinical review of medical records to determine appropriate care including physical health , behavioral health , and social determinants of health ... include at least 2 years of relevant Licensed Vocational Nurse (LVN) experience in a UM or...environment. Preferred: Experience in utilization review, skilled nursing, home health , discharge planning, behavioral health ,… more
- Independent Health (Buffalo, NY)
- …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Behavioral Health Case Manager is primarily responsible for managing ... behavioral health benefits through the administration of quality improvement functions....licensed family or marriage therapist (LMFT) or active registered nurse (RN) in NYS required. Certified Case Manager (CCM)… more
- Humana (Tampa, FL)
- …caring community and help us put health first** The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve ... care and wellbeing of members. The Field Care Manager, Behavioral Health 2 work assignments are varied...Utilization Management Team. SW will work closely with internal, nurse liaison to assist in discharge planning needs of… more
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