- AmeriHealth Caritas (Charleston, SC)
- …us at www.amerihealthcaritas.com . **Responsibilities:** Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer is ... pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services....+ Minimum of 2 years of behavioral health and substance use disorder experience.; + Utilization… 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
- Centene Corporation (Tallahassee, FL)
- …appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization ... in the State of Florida** **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
- 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
- Elevance Health (Metairie, LA)
- The **Manager Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case ... + 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; or any combination of… more
- CVS Health (Hartford, CT)
- …teams including RN Case Managers, Social Workers, Dietitians, Behavioral Health Specialists, Utilization Management Nurses, Care Management ... Bring your heart to CVS Health . Every one of us at CVS ...for the respective products. + Analyzing and supporting the utilization and case management performance of all… more
- FLACRA (Clifton Springs, NY)
- …experience in the behavioral health field, with knowledge of utilization management practices. + Valid NYS Driver's License. Job Requirements: Key ... Utilization Management Specialist Clifton Springs, NY...Recovery Agency (FLACRA) is a growing, not-for-profit provider of behavioral health and substance use treatment services… more
- UPMC (Jamestown, NY)
- …Registered Nurse. + Minimum of 3 years of experience in behavioral health , clinical care, utilization management , home care, discharge planning, or ... case management . + 5 years of experience in community-based case management and behavioral health _preferred_ . + General knowledge of best practices for… more
- AmeriHealth Caritas (Robbinsville, NJ)
- …daily functions, including triage of calls, care coordination, and utilization management .; The Behavioral Health Care Manager facilitates access to ... products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more… more
- Sutter Health (Berkeley, CA)
- …systems for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with ... from accidental, intentional, or inappropriate disclosure. **DEPARTMENT REQUIRED EDUCATION** Department, Behavioral Health : Master's in Social Work or related… more