- Humana (Little Rock, AR)
- …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
- CVS Health (Washington, DC)
- …No weekends or holidays. + 1+ years of utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in ... clinically appropriate treatment, evidence based care an clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. +… more
- CVS Health (PA)
- …PM EST** We are seeking a compassionate, clinically skilled professional to join our Utilization Management team. In this role, you will use your behavioral ... as a clinical resource to internal teams and external partners regarding utilization management processes. + Perform responsibilities while working primarily at… more
- CVS Health (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 ... 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
- Molina Healthcare (North Las Vegas, NV)
- …professionals in some or all of the following functions: care management , utilization management , behavioral health , care transitions, long-term ... Job Duties * Assists in implementing health management , care management , utilization management , behavioral health and other program… more
- CVS Health (LA)
- …utilization /benefit management function. Required Qualifications : + Independent Behavioral Health clinician License or an Unrestricted Registered Nurse ... + Managed care/ utilization review experience preferred Experience in a behavioral health inpatient setting + Ability to multitask, prioritize and… more
- Excellus BlueCross BlueShield (Rochester, 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
- BlueCross BlueShield of North Carolina (NC)
- …**Bonus Points** _(Preferred qualifications)_ + Previous experience with utilization management in Behavioral Health strongly preferred **What You'll ... **Job Description** We're seeking an Episodic Care Manager to join our Behavioral Health Team! The Episodic Care Manager is responsible for performing clinical… more
- UnityPoint Health (Cedar Rapids, IA)
- …This position is on site at St. Luke's Hospital. 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
- CVS Health (LA)
- …/benefit management function. **Required** **Qualifications** - Licensed independent Behavioral Health clinician (ie LCSW, LCPC, LMFT, LPCC, LPAT, ... required - Managed care/ utilization review experience preferred Experience in a behavioral health inpatient setting - Ability to multitask, prioritize and… more
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