- Merck & Co. (North Wales, PA)
- …interacting with multiple channels to access drug, medical and practice management information as needed, real-time. To enhance our Company Oncology's Go-To-Market ... across our promotional mix. In this role, the Customer Engagement Manager will define non-personal promotion HCP customer channel and engagement strategies… more
- Marion County (Salem, OR)
- …& Human Services is looking for an adaptable, collaborative, and experienced Program Manager who will assist the department in achieving its mission: To create a ... planning, development, support and delivery of efficient and high-quality mental health, behavioral health or health administration services with a broad scope of… more
- Humana (Columbus, OH)
- …and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Utilization Management ( Behavioral Health) who will utilize ... of behavioral health services and/or benefit administration determinations. The Manager , Utilization Management ( Behavioral Health) applies… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - ... For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible… more
- Banner Health (AZ)
- …in an interdisciplinary team format. PREFERRED QUALIFICATIONS Previous experience with behavioral health utilization management . Additional related education ... by offering remote and hybrid work settings. As a Behavioral Health Utilization Care Manager ,...internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts… more
- CVS Health (Salt Lake City, UT)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... internal and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + 3+ years post… more
- AmeriHealth Caritas (Newark, DE)
- ** Utilization Management Plan Oversight Manager , Registered Nurse (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ... for UM DE, and serves as SME for clinical components DE Medicaid Utilization Management Program. Works in close collaboration with all departments to… more
- UNC Health Care (Chapel Hill, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... all 4 campuses - Main, Hillsborough, Chatham and Youth Behavioral Health. The team assists the weekends and other...Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- Prime Healthcare (Montclair, CA)
- …credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/162306/case- management - manager utilization - management ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of the Case Management Department is… more
- Universal Health Services (Gulfport, MS)
- …visit us at www.gulfportbehavioral.com/ Position Summary: Join a team where the Utilization Review Manager assumes responsibility for the functioning of the ... Responsibilities Gulfport Behavioral Health System (a UHS facility): Gulfport ...1 year of management experience with case management and the utilization review process including… more
- Ventura County (Ventura, CA)
- …satisfactory performance, and in accordance with the business needs of the department. Behavioral Health Manager I/II are management classifications and are ... Behavioral Health Quality Assurance Manager Print...management practices; grievances, appeals and notices of actions; behavioral health clinical policies and procedures; utilization … more
- Elevance Health (Washington, DC)
- …degrees of medical complexity and acuity. Participates in case and/or utilization management execution/decision making for managed member populations. Primary ... II HCMS is responsible for managing a team of physical and/or behavioral health practitioners in the development, implementation, and coordination of a comprehensive… more
- Acacia Network (Bronx, NY)
- Acacia Network Inc. Utilization Manager Bronx, : 5/30/2024 Job Description Job ID#: 3904 Job Category: Acacia Network Inc. Position Type: Full Time Details: ... the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are...Degree preferred) + Minimum of 2 years of case management and/or utilization review experience + Strong… more
- Highmark Health (Pittsburgh, PA)
- …years with utilization review/ management + 1 year as a supervisor or manager of Utilization /Case Management with a Managed Care Organization + 1 year ... customers of Helion's technology platform(s). **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved… more
- CareOregon (Medford, OR)
- …+ Knowledge of Behavioral Health managed care practice, including utilization management , population health improvement, guideline development, disease ... Job Title CCO Behavioral Health Program Manager - Adult...Behavioral Health team in the areas of network management and optimization, program development, and delivery system change.… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** Dependent on clinical discipline, the Maternal Mental Health Case Manager coordinates the care and services of behavioral and maternal health ... member populations across the continuum of care, promotes effective utilization and monitoring of maternal and behavioral ...or BSN with 3 years of clinical and/or case management experience in maternal and behavioral health.… more
- Banner Health (Scottsdale, AZ)
- …administrative support for discharge planning; nursing and medical providers as well as utilization management and outside stakeholders such as SMI teams and out ... patients' lives easier. Apply today. Bring your passion for Behavioral Health to Banner Health! **Banner Behavioral ...patient's needs. We are in need of a Case Manager with at least one year of experience. The… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/rn-case- manager utilization ... services in specialties including Cardiovascular, Surgical, Orthopedics, Maternal-Child Health, Behavioral Health and Emergency and Trauma Care. In addition, the… more
- Banner Health (Scottsdale, AZ)
- …like something you want to be part of, we want to hear from you. As a ** Behavioral Health Case Manager ** , you will work at our Banner Behavioral Health ... hospital treatment teams, ensuring the high caliber of therapy programming and case management services. The culture of this campus is reflected in our psychiatrists… more
