- APN Consulting, Inc (New York, NY)
- …collaboration to enhance the continuity of care for Client members including Behavioral Health and Long Term CareMaintains department productivity and quality ... Description: All UM standard/ expedited Inpatient, Outpatient and Custodial Care clinical reviews for MLTC members. Must Have Skills: Must have experience in … more
- APN Consulting, Inc (VA)
- …collaboration to enhance the continuity of care for Client members including Behavioral Health and Long Term CareMaintains department productivity and quality ... time zone requirements? No, EST preferred What are the must have requirements? UM experience What are the day to day responsibilities? Review provider requests for… more
- Kepro (Richmond, VA)
- …being a vital partner for health solutions in the public sector. Acentra seeks a Behavioral Health UM Clinical Reviewer RN to join our growing team. ... are now Acentra Health ! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to… more
- Universal Health Services (Memphis, TN)
- Responsibilities Lakeside Behavioral Health System provides an excellent opportunity for those seeking to be part of a team-oriented and compassionate ... paid time off. Since 1969, Lakeside has been the premier provider of specialized behavioral health and addictive disease services in the Memphis and Mid-South… more
- Molina Healthcare (Bronx, NY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... illness and the site of service. **This position will support our Senior Whole Health business.** **_Senior Whole Health by Molina_** **is a Managed Long-Term… more
- Elevance Health (Louisville, KY)
- …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Atlanta, GA)
- …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Rancho Cordova, CA)
- …The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- CVS Health (Richmond, VA)
- …provide education and training + Consults with Plan executive management regarding physical and behavioral health clinical issues as they relate to medical ... services system issues + Supports and encourages CM and UM staff to function as interdisciplinary team, with requisite...with delivery/ supervision of community-based Medicaid behavioral health services required + 5+ years clinical … more
- LA Care Health Plan (Los Angeles, CA)
- …activities to improve overall compliance with all regulations and standards. Clinical Auditor ( Behavioral Health ): In addition to ... the duties above, the Clinical Auditor ( Behavioral Health ) will design an audit program... Health units, the Medical Director of Behavioral Health , attendance at UM … more
- Universal Health Services (Highlands Ranch, CO)
- Responsibilities Highlands Behavioral Health System is an 86 bed, acute care psychiatric hospital located in Littleton, CO. Highlands features individual units ... ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access… more
- Elevance Health (Seven Fields, PA)
- …Point office. **Hours:** Monday-Friday 8:00 am -5:00 pm Eastern Standard Time The Behavioral Health Care Manager II is responsible for managing psychiatric and ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Elevance Health (Rocky Hill, CT)
- …quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health … more
- One Health (Miles City, MT)
- …with on the job training perfect for someone wanting to move into the world of behavioral health but doesn't know where to start. One Health offers great ... SUMMARY: Functions as a core member of an integrated behavioral health team that may involve the...and follow-up c + T racks patient follow-up and clinical outcome + Documents encounters in the EHR per… more
- Elevance Health (Las Vegas, NV)
- … family of companies, **Carelon Behavioral Health ** , formerly Beacon Health Options, offers superior clinical mental health and substance use ... and insightful analytics to improve the delivery of care. ** Behavioral Health Care Manager II** Location: This...healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers… more
- Elevance Health (Costa Mesa, CA)
- …quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Outreaches to providers as necessary for ... Behavioral Care Manager** **II** is responsible for completing clinical assessments, screenings, and managing crisis calls in a...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Elevance Health (Latham, NY)
- …locations. **Hours:** Monday-Friday 8:00 am -5:30 pm Eastern Standard Time The Behavioral Health Care Manager II is responsible for managing psychiatric ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Centene Corporation (Oklahoma City, OK)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure appropriate ... provider interactions, and facilitates operations within utilization management. + Manages behavioral health (BH) utilization review clinicians and ensures… more
- Molina Healthcare (Albuquerque, NM)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management and ... health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. ** Based in New Mexico… more
- CVS Health (Richmond, VA)
- …Greensville, Nottoway. Up to 25% of expected travel. Standard business hours: Monday-Friday. The Behavioral Health Clinical Liaison is a clinical leader ... - Consults with Plan executive management regarding physical and behavioral health clinical issues as...clinical issues as they relate to medical management ( UM , CM, DM) provider and system of care issues,… more
