- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- CVS Health (Phoenix, AZ)
- …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- Centene Corporation (Harrisburg, PA)
- …**Position Purpose:** Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical ... + Evaluates member's care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and… more
- Centene Corporation (Phoenix, AZ)
- …**Position Purpose:** Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical ... + Evaluates member's care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and… more
- Elevance Health (NC)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health Care Manager I - (Day Shift)**...or a NC License_** + Previous experience in case management / utilization management with a broad… more
- Centene Corporation (Bedford, NH)
- …+ Experience with managed care, case management , utilization management , or quality improvement required + For Applied Behavior Analysis Services ... with providers and healthcare teams to review care services related to Applied Behavioral Analysis Services preferred **Licenses/Certifications:** + LCSW -… more
- Sevita (Lowell, MA)
- **Mentor South Bay** , provides Early Intervention, Applied Behavioral Analysis (ABA), Behavioral Health and Mental Health Outpatient services across ... for performance evaluations, orientation, scheduling, and training + Ensures consistent utilization of applied behavior analysis techniques and promotes a… more
- Elevance Health (Indianapolis, IN)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health Care Manager II - Autism** **Location:**...supervision. + Previous experience in case management / utilization management with a broad… more
- Elevance Health (NC)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health Care Manager I (2nd Shift)- North...Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad… more