Under the supervision of the Utilization Management Supervisor, the Behavioral Health (BH) Utilization Management (UM) Clinician... is responsible for conducting benefit coverage reviews and utilization management according to applicable regulatory guidelines...
care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective... to needed care or services Collects, documents, and maintains member information and care management activities to ensure compliance...
Under the supervision of the Utilization Management Supervisor, the Behavioral Health (BH) Utilization Management (UM) Clinician... is responsible for conducting benefit coverage reviews and utilization management according to applicable regulatory guidelines...
Sentara Health Plans is hiring for a Behavioral Health Utilization Management Care Coordinator- Whole Person Care... Management Care Coordinator is responsible for review of clinical information received from providers ensuring clinical data...
and shipping medications to BH facility affiliates or patients. Performs medication review, product verification and quality... to optimize pharmacy financials, inventory management and enhance processes. Responsible for providing oversight over...
and evaluate multiculturally sensitive BH assessments, risk assessments, individual and group counseling, case management, crisis... do: Provide multiculturally sensitive BH assessment, triage, linkage, and brief counseling services for Health Science students...
Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh... review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning...
management activities, with primary focus and support towards populations with significant mental/behavioral health needs... management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well...
IL as needed/requested by Management. BH Clinical Case Manager is responsible for telephonically and/or face to face assessing, planning..., implementing and coordinating all case management activities with members to evaluate the medical needs and behavioral health needs...
/Accounting/Finance Employment Type: Contract Reference: BH-391253 Operations and HR Coodinator Needed - MSP Background... Key Responsibilities SNOW Inquiry Management Manage the SNOW tickets, ensuring timely and accurate responses...