- Elevance Health (Durham, NC)
- …and insightful analytics to improve the delivery of care . ** BH Care Manager I, UM /Crisis Line - North Carolina** Candidate must live AND be licensed ... am to 8 pm (EST) and Rotating Holiday coverage.** The ** BH Care Manager I, UM /Crisis Line** is responsible for managing psychiatric and substance abuse… more
- Elevance Health (Latham, NY)
- …use of health benefits and community resources. + Will serve as a resource to other BH Care Managers. + Assists with more complex cases and may participate in ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to...resources. + Will serve as a resource to other BH Care Managers and clinical support staff.… more
- Elevance Health (FL)
- …use of health benefits and community resources. + Will serve as a resource to other BH Care Managers. + Assists with more complex cases and may participate in ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to...with complex psychiatric/substance abuse cases required. + Prior managed care experience required. + For URAC accredited areas, the… more
- Elevance Health (Atlanta, GA)
- …to ensure cost effective and quality member care . Additional responsibilities for integrated ** BH UM and BH CM model include:** Integrates the UM ... Managed Care setting required. **Additional requirements for BH UM :** + MS in social work,...Health treatment strongly preferred. + Certification as a Case Manager preferred. **Additional requirements for BH EAP/Resource… more
- Elevance Health (FL)
- …Prior experience in Managed Care setting required. Additional requirements for BH UM : MS in social work, counseling, psychology or related behavioral ... Behavior Analysis Services)** Responsible for Behavioral Health Utilization Management ( BH UM ). Serves as a mentor to...care initiatives. + May attend meetings to review UM and discusses facility issues. + Hires, trains, coaches,… more
- Elevance Health (Palo Alto, CA)
- …intradepartmental teams projects and initiatives. + Will serve as an assistant to the BH Care Manager Ld in implementing identified operational processes. + ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to...resources. + Will serve as a resource to other BH Care Managers. + Assists with more… more
- VNS Health (Manhattan, NY)
- …and medical director meetings as stipulated by the State BH contract manager . Serves as the principal behavioral health/social care expert and liaison for ... behavioral health sections of the Quality Management (QM)/Utilization Management ( UM ) Plan. Oversees the administration of all BH...organization (BHO), with minimum of 4 years in a BH utilization and care management Director or… more
- Elevance Health (Cerritos, CA)
- …Manager II Behavioral Health Services** is responsible for Behavioral Health Utilization Management ( BH UM ), or Behavioral Health Case Management ( BH CM) ... non-clinical support staff responsible to ensure appropriate linkage to care for outpatient BH services. + Leads...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more