- 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
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Registered Nurse, LICSW, LMHC + 3-5 years of clinical experience in Behavioral Health Care settings + Utilization Management experience preferred + CCM ... highly dedicated and motivated team of professionals, including medical and behavioral health care managers, dieticians, pharmacist, clinicians, medical… more
- CVS Health (Phoenix, AZ)
- …make health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work schedules will include ... weekend, holidays, and evening rotations. ABA Utilization Management Clinical Consultant applies critical thinking and is knowledgeable in clinically appropriate… more
- CVS Health (Charleston, WV)
- …clinically appropriate treatment, evidence-based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... **Required Qualifications** + Must reside in West Virginia + Licensed independent behavioral health clinician with West Virginia state licensure (LCSW, LPCC,… more
- Elevance Health (FL)
- … Services ( Utilization Management for Behavior Analysis Services)** Responsible for Behavioral Health Utilization Management (BH UM). Serves as a ... Candidate will be responsible for the oversight of the utilization management team. + Responsible for a...UM: MS in social work, counseling, psychology or related behavioral health field or a degree in… more
- CVS Health (Austin, TX)
- …meetings when requested. - Oversight and implementation of the utilization management program for behavioral health services, including monitoring for ... and is responsible for * Leadership and counsel for utilization management * Leadership and participation in...development of clinical practice standards, policies, and procedures. - Behavioral health care management performance… more
- Elevance Health (Atlanta, GA)
- …- 5:00pm ET The **Manager II Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral ... + MS in social work, counseling, psychology or related behavioral health field or a degree in...and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience, which includes a minimum… more
- CVS Health (Baton Rouge, LA)
- …meetings when requested. * Oversight and implementation of the utilization management program for behavioral health services, including monitoring for ... in the development of clinical practice standards, policies, and procedures. * Behavioral health care management performance and coordination with… more
- Spokane County (Spokane, WA)
- …for substance use disorder assessment and treatment. + Knowledge of utilization management of public behavioral health . + Knowledge of federal ... behavioral healthcare services, healthcare coordination or authorization and utilization reviews of behavioral health ...Coordinator: + Performs utilization management , utilization review, or concurrent review of behavioral … more
- CareOregon (Portland, OR)
- …waitlist and notify stakeholders of service availability timeframes. + Coordinate with CareOregon Behavioral Health Utilization Management and Prior ... + Familiarity with Oregon Civil and Forensic Commitment systems + Familiarity with behavioral health utilization management concepts and behavioral … more