- Altru Health (East Grand Forks, MN)
- …Date | HR Primary Sources Licensed Professional Clinical Counselor (LPCC) | Minnesota Board of Behavioral Health and Therapy | Within 12 Months of Start Date | ... participating in restructuring of current and new programs. Performs utilization review when required. Collaborates with Primary Care Provider...| Within 90 Days of Start Date | Learning Management System Notes: Can by licensed as LCSW or… more
- Point32Health (MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Provide behavioral health utilization review and care management in order ... care and to ensure coordination of care. To facilitate coordination and integration of behavioral health , medical management , and case management … more
- Centene Corporation (Madison, WI)
- …appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization ... anywhere in the United States **Position Purpose:** Supervises the behavioral health (BH) utilization review...performance, quality, and efficiency standards + Works with BH utilization management team to resolve complex BH… more
- Centene Corporation (Jefferson City, MO)
- …Licensure and/or Compact State Licensure required Additional Details: * Department: IL Meridian Behavioral Health Utilization Management Pay Range: ... CST or EST time zone with experience in mental health settings and utilization management ...regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
- CVS Health (Tallahassee, FL)
- …working in community based mental health service like Targeted Care Management , Psychosocial Rehabilitation, or related utilization management experience ... Hours for this role are Monday-Friday 8:30a-5:00p EST. **Position Summary** The Medicare Behavioral Health Outpatient clinician will be part of the Medicare… more
- Elevance Health (Olathe, KS)
- …care managers (UM).** The **Manager of Behavioral Health ** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral ... **Position specific details: We are currently hiring three Managers of Behavioral Health for our partnership with KanCare. Two will be responsible for overseeing… more
- BronxCare Health System (Bronx, NY)
- Overview The Coordinator- Behavioral Health Utilization Management (BH-UMC) will review and monitor all patientsadmitted into psychiatry or substance ... for appropriateness of admission according to nationally recognizedcriteria. Responsibilities The Coordinator- Behavioral Health Utilization Management … more
- Kepro (Indianapolis, IN)
- … Medical Director shall provide the clinical and administrative medical oversight for Behavioral Health Utilization Management reviews. The Medical ... the public sector. Acentra is looking for a Part-Time Behavioral Health Medical Director to join our...clinical specialty if MD or DO. + Experience in Utilization Management (UM) with knowledge of Medicaid… more
- AmeriHealth Caritas (Manchester, NH)
- …to ensure that AmeriHealth Caritas New Hampshire's substance use disorder and behavioral health care management , utilization management and quality ... products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more… more
- CVS Health (Denver, CO)
- …care setting such as ambulatory care or outpatient clinic/facility. * Unencumbered Independent Behavioral Health clinical license in the state where they work. ... LMSW, LSW, LISW, LMFT, LMHC, LCSW) OR RN with 3+ years of clinical behavioral health experience required. **Preferred Qualifications** * Knowledge of mental … more
