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61 Jobs

  • Utilization Management Clinician Behavioral Health - Precertification (Remote)

    Sandy, Utah
    ... utilization/benefit management program. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence-based care, and clinical practice guidelines for Behavioral Health and/or ...
  • Utilization Management Clinical Consultant

    Frankfort, Kentucky
    ... . Required Qualifications : Licensed independent Behavioral Health clinician with Kentucky state ... Qualifications: Managed care/utilization review experience preferred Experience in a behavioral health ...
  • Clinical Case Manager Behavioral Health

    Springfield, Illinois
    ... multitask Required Qualifications Masters prepared behavioral health clinician with ... health and behavioral healthcare through assessment and care planning, direct provider coordination ...
  • Utilization Management Clinical Consultant

    Baton Rouge, Louisiana
    ... : Licensed independent Behavioral Health clinician (i.e. LCSW, LCPC, LMFT, LPCC, LPAT, LPC) with addiction ... care/utilization review experience preferred Experience in a behavioral health inpatient setting ...
  • Training & Quality Clinician

    Harrisburg, Pennsylvania
    ... behavioral health case management) required. Unrestricted RN licensure required 1+ years Med ... management. TQC clinician will support the DSNP markets. They are responsible for conducting audits of ...
  • Utilization Management Clinical Consultant

    Frankfort, Kentucky
    ... . Required Qualifications : Licensed independent Behavioral Health clinician with Kentucky state ... /utilization review experience preferred Experience in a behavioral health inpatient setting Ability ...
  • Clinical Case Manager, Behavioral Health

    Springfield, Illinois
    ... behavioral health clinician with unrestricted Independent Behavioral Health licenses in the state where they ... clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis ...
  • Utilization Management Clinician, Behavioral Health

    Sacramento, California
    ... Behavioral Health you will: Utilize clinical experience and skills in a collaborative process to ... professional behavioral health clinical license to practice per state regulations in the state they reside in ...
  • QM Nurse Consultant

    Plantation, Florida
    ... cases (Medical and Behavioral Health), along with Patient Safety Events across all lines of business ... clinical experience required. 2+ years of behavioral health experience required. 2+ years ...
  • Case Management Coordinator - North West KS

    Topeka, Kansas
    ... or non-licensed master level clinician required, with either degree being in behavioral health or ... utilization management, quality management, network management and clinical coverage and policies ...
  • Case Management Coordinator - South Central KS

    Topeka, Kansas
    ... non-licensed master level clinician required, with either degree being in behavioral health or human ... utilization management, quality management, network management and clinical coverage and policies ...
  • Case Management Coordinator - North Central KS

    Topeka, Kansas
    ... -licensed master level clinician required, with either degree being in behavioral health or human services ... utilization management, quality management, network management and clinical coverage and policies ...
  • Case Management Coordinator - South West KS

    Topeka, Kansas
    ... utilization management, quality management, network management and clinical coverage and policies ... + year(s) behavioral health, social services, social work or human services field. -Willing and able to ...
  • Case Management Coordinator - South East KS

    Topeka, Kansas
    ... utilization management, quality management, network management and clinical coverage and policies ... + year(s) behavioral health, social services, or human services field. -Willing and able to ...
  • Case Management Coordinator - North East KS

    Topeka, Kansas
    ... utilization management, quality management, network management and clinical coverage and policies ... ) behavioral health, social services, social work or human services field.-Willing and able to travel 50-75% of ...
  • Quality Management Nurse Consultant

    Springfield, Illinois
    ... :00am - 5:00pm in time zone of residence Preferred Qualifications - Utilization Management ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose ...
  • Executive Director, Data Science - Aetna Operations, Claims and Appeals Analytics

    New York, New York
    ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced ...
  • Case Management Coordinator- Field

    Springfield, Illinois
    ... experience in behavioral health, social services or human services field. -Minimum 2 years of case ... behavioral health or human services required (psychology, social work, marriage and family therapy ...
  • Case Management Coordinator - Field

    Springfield, Illinois
    ... experience in behavioral health, social services or human services field. -Minimum 2 years of case ... behavioral health or human services required (psychology, social work, marriage and family therapy ...
  • Case Management Coordinator - Field - The Lakes Region, KY

    Frankfort, Kentucky
    ... clinician is required with either degree being in behavioral health or human services field ... juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed ...
  • Case Management Coordinator- Field - Salt River Trail-Kentucky

    Frankfort, Kentucky
    ... guidelines. Collaborates with partners from the state and behavioral health systems to ensure that the ... . 2 years’ experience in behavioral health, social services, or human services field. 1+ year(s ...
  • Case Management Coordinator - Edgar County

    Springfield, Illinois
    ... experience in behavioral health, social services or human services field. - Minimum 2 years of case ... EducationBachelor's degree or licensed master level clinician required, with either degree being in behavioral ...
  • Case Management Coordinator-Field - Two Rivers Region, KY

    Frankfort, Kentucky
    ... clinician is required with either degree being in behavioral health or human services field ... , Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis ...
  • Analyst, Case Management

    Columbus, Ohio
    ... -licensed master level clinician with either degree being in behavioral health or human services preferred ... behavioral health or social services Must have the ability to work 8:00a-5:00p local time 2+ years ...
  • Care Management Coordinator - Toledo (West Region) OhioRise

    Columbus, Ohio
    ... their care; improve youth and family outcomes; and reduce the cost of behavioral health social services ... determinants of health (SDOH) are considered when addressing behavioral health, functional and social ...
  • Intensive Case Management Coordinator- Field - Jefferson County, Kentucky

    Louisville, Kentucky
    ... and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma ... SKY populations, is required. Minimum 1 year of experience required in behavioral health, social ...
  • Case Management Coordinator (Remote)

    Baton Rouge, Louisiana
    ... . Required Qualifications • 2 years experience in behavioral health, social services or appropriate ... required, with either degree being in behavioral health or human services preferred (psychology, social ...
  • Case Management Coordinator (Macon and Sangamon County)

    Springfield, Illinois
    ... in behavioral health, social services or human services field. -Minimum 2 years of Case Management ... , with either degree being in behavioral health or human services required (psychology, social work ...
  • Analyst, Case Management

    Harrisburg, Pennsylvania
    ... . Required Qualifications: 2+ years experience in behavioral health or social services ... with either degree being in behavioral health or human services preferred (psychology, social work ...
  • Analyst, Case Management

    Albany, New York
    ... . Required Qualifications: 2+ years experience in behavioral health or social services ... with either degree being in behavioral health or human services preferred (psychology, social work ...
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