- Humana (Indianapolis, IN)
- …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- CVS Health (Sacramento, CA)
- … Management experience. + Valid California unrestricted independent professional behavioral health clinical license **Education** + If RN, Bachelor's degree ... coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health services. Applies… more
- CVS Health (Salt Lake City, UT)
- …care setting such as ambulatory care or outpatient clinic/facility. + Unencumbered Independent Behavioral Health clinical license in the state where they work. ... LPCC, LMHCS, LMHC, LMFT, LCSW) OR RN with 3+ years of clinical behavioral health experience required. **Preferred Qualifications** + Knowledge of mental … more
- Omaha Children's Hospital (Omaha, NE)
- …equal opportunity employer including veterans and people with disabilities. **A Brief Overview** Utilization Management (UM) is a specialty area of Nursing Case ... variety of settings. + Skills in negotiation and problem solving with utilization management . + Should be a creative, flexible, risk taker. **Licenses and… more
- CVS Health (Santa Fe, NM)
- …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate,...a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are… more
- Humana (Indianapolis, IN)
- …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… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health , Pharmacy, Registered ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- UnityPoint Health (Cedar Rapids, IA)
- …Shift: 40 Hours Per Week + Job ID: 168048 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves ... a fulfilling career and make a difference with UnityPoint Health . Responsibilities Utilization Management +...State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional communication… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …care setting in case/disease or utilization management * 3+ years of behavioral health experience * Bachelor's or Master's degree in health care, ... Blue Cross and Blue Shield of Minnesota Position Title: Manager Clinical Care Management - Behavioral Health Location: Hybrid | Eagan, Minnesota… more
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