The Medical Director, Behavioral Health at Magellan Health Services supports the clinical vision for the health plan(s) across all lines of business (Medicaid, Medicare, and Commercial) and implements programs to support this vision. This role involves clinical leadership, including oversight of clinical team members, consultation and training with care managers, and day-to-day physician oversight of an interdisciplinary UM team. The position also includes developing and implementing a Utilization Management program, ensuring high-quality patient care, and participating in the appeals process and continuous quality improvement activities.

Medical Director, BH - TX licensed, Remote (part time)

Medical Director, Behavioral Health

The Behavioral Health Director for the SKY program at CVS Health will lead a team of licensed therapists to support youth in Kentucky's child welfare and juvenile justice systems. This fully remote position involves navigating and influencing cross-functional teams, ensuring the coordination of physical and behavioral health care, supporting market strategy development, and acting as a liaison with behavioral health community resources. The role requires a Kentucky residence and independent behavioral health licensure in the state.

Behavioral Health Director SKY - Remote KY

Behavioral Health Director

The HMSA Care Manager - Behavioral Health, UM Reviewer is a remote position responsible for authorizing and reviewing utilization of mental health and substance abuse services in inpatient and/or outpatient care settings. This role involves collecting and analyzing utilization data, assisting with discharge planning and care coordination, providing member assistance with mental health and substance abuse issues, and participating in special quality improvement projects. The position requires collaboration with other clinical team members, telephone triage, crisis intervention, and performing concurrent reviews.

HMSA Care Manager - BH, UM Reviewer - Remote Hawaii

HMSA Care Manager - Behavioral Health, UM Reviewer

As a Behavioral Health Specialist at Banner Thunderbird Medical Center, you will provide direct care to psychiatric patients under the direction of a registered nurse. This role involves a variety of tasks including safety checks, assisting in ADLs, milieu management, falls prevention measures, and one-on-one observations. The position is based in a Level I Trauma for adults and Tertiary Care destination for all ages, offering a wide range of mental health diagnoses requiring acute medical care. Full-time day shifts are available, including weekends and holidays on a rotating basis.

Behavioral Health Specialist

The Senior Medical Director at UPMC Community Care will lead the behavioral health care delivered to Community Care members, ensuring the quality and efficiency of care. This role involves significant responsibility for quality management, utilization management, and the adequacy of the provider network. The position offers the opportunity to lead a mission-driven organization focused on improving community health through behavioral health services, with the flexibility to be based anywhere within Pennsylvania.

Psychiatrist Senior Medical Director - Behavioral Health

Senior Medical Director - Behavioral Health

The Medicare Behavioral Health Outpatient clinician will be part of the Medicare precertification team, utilizing their clinical experience to assess appropriateness of treatment plans for members accessing outpatient services. This role involves gathering clinical information, applying clinical judgment to render coverage determinations/recommendations in line with evidence-based standards and practice guidelines, and working in conjunction with the Clinical Supervisor and Medical Directors to facilitate optimal care/treatment. This is a full-time telework position with specific hours and bilingual English/Spanish requirements.

Medicare Behavioral Health Outpatient Utilization Management Clinician (Bilingual - Spanish)

Medicare Behavioral Health Outpatient Utilization Management Clinician

The Behavioral Health Clinical Liaison at CVS Health is a clinical leader focused on utilization management, integrating member care, clinical coordination, and leading the development, implementation, and ongoing monitoring of program and quality initiatives to address the needs of Aetna members. This role involves clinically managing non-traditional mental health services and addiction recovery, driving collaboration on quality of care, outreach to high utilizers, serving as a behavioral health subject matter expert, and representing the plan to external stakeholders.

Behavioral Health Clinical Liaison, Central Region - VA - Remote

Behavioral Health Clinical Liaison

BAYADA Home Health Care is seeking a dedicated and detail-oriented Support Office Associate for their Behavioral Health Practice. This remote role is crucial for ensuring compliance with payer requirements, maintaining accurate policy and procedure documentation, monitoring compliance, and creating effective communications for service offices. The ideal candidate will be a self-starter, organized, proactive, and passionate about supporting individuals and families through comprehensive and personalized care plans.

Associate

Support Office Associate - Behavioral Health Practice

The Care Manager at Magellan Health Services is responsible for authorizing and reviewing utilization of mental health and substance abuse services in both inpatient and outpatient care settings. This role involves collecting and analyzing utilization data, assisting with discharge planning and care coordination, providing member assistance with mental health and substance abuse issues, and participating in special quality improvement projects. The position requires collaboration with other clinical team members, interaction with Physician Advisors, and participation in network development activities.

Care Manager (UM/UR) - Remote, Idaho Licensed

Care Manager

The Care Manager at CareFirst is responsible for researching and analyzing members' medical and behavioral health needs and healthcare cost drivers. They work closely with members and the interdisciplinary care team to ensure an effective plan of care and positive member experience, leading to optimal health and cost-effective outcomes. This role involves identifying members with acute/complex conditions, engaging with them and their providers to develop comprehensive care plans, and facilitating program and community referrals.

Care Manager (MD-DC-Northern VA) (Remote)

As a Clinical Manager at Fresenius Medical Care, you will lead the operations of a clinic, ensuring quality patient care is delivered while maintaining clinical operations. This role involves managing the clinic's operations, including costs, processes, staffing, and quality standards, as well as coordinating patient care, managing staff, and maintaining strong physician relationships. The position offers a comprehensive training program and opportunities for career advancement.

Dialysis Clinical Manager Registered Nurse - RN

Clinical Manager

Banner Health is seeking a Registered Nurse for their Behavioral Health Unit at Banner Thunderbird Medical Center. This role involves caring for a wide range of mental health diagnoses requiring acute medical care, with a focus on children and adults. The position offers a full-time day shift schedule, including weekends and holidays on a rotating basis, with a self-scheduling tool for shift and weekend coverage. Nurses will provide 24/7 crisis intervention and therapeutic services in a medically safe, recovery-focused environment.

Registered Nurse RN Behavioral Health

Registered Nurse Behavioral Health

The Behavioral Health Clinical Trainer at Centene Corporation is responsible for developing and conducting training programs and auditing tools for clinical department staff on the company's clinical philosophy and evidence-based practice methods. This role involves collaborating with clinical leadership to identify training needs, maintaining and monitoring the delivery and effectiveness of the training program, and addressing challenges. The position is primarily remote, requiring candidates to reside in Texas.

Behavioral Health Clinical Trainer

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