As a Behavioral Health Certified Patient Care Assistant at Banner Del Webb Medical Center, you will focus on safety checks, assisting in ADLs, milieu management, falls prevention measures, and 1 on 1 observations. This role involves providing direct care to psychiatric patients under the direction of a registered nurse. The position is full-time, day shift, and includes weekends and holidays on a rotating basis. You will have the opportunity to utilize self-scheduling tools for shift and weekend coverage, along with an additional $1/hour weekend shift differential.

Behavioral Health Certified Patient Care Assistant

The Senior Medical Director, Behavioral Health in New Mexico supports the clinical vision for the health plan(s) across all lines of business (Medicaid, Medicare, and Commercial) by overseeing service coordination, utilization management, care/case management, population health/disease management, cost of care, health promotion, quality improvement programs, and medical action plans. This role involves leading parity efforts, ensuring compliance with NCQA and/or URAC, analyzing utilization, quality, and financial data, and providing clinical leadership to the Medical Management team. The position requires working outside normal business hours and may involve travel for client meetings.

SENIOR MEDICAL DIRECTOR, BEHAVIORAL HEALTH - NEW MEXICO

Senior Medical Director, Behavioral Health

Cigna is seeking a seasoned Experience Design Discovery Lead to revolutionize highly complex, regulated industries by working with cross-functional partners to define experience strategy within the care navigation domain. This role involves establishing and sharing a strategic definition of experience design, partnering with Delivery Leads to sequence Discovery and Delivery roadmaps, and championing a human-centered design approach. The position offers the opportunity to lead the definition of a scalable experience design strategy for care navigation, develop and execute a Discovery-Delivery roadmap, and elevate the team's experience design maturity.

BEHAVIORAL HEALTH UX DISCOVERY LEAD - WORK FROM HOME

Behavioral Health UX Discovery Lead

The Utilization Management Clinician - Behavioral Health at CVS Health is a fully remote role focused on utilizing clinical experience to assess the appropriateness of treatment plans across levels of care, applying evidence-based standards and practice guidelines. This position involves coordinating, monitoring, and evaluating healthcare services/benefits for members, providing triage and crisis support, and facilitating effective discharge planning. The role requires a deep understanding of mental health and substance abuse disorders, with a focus on promoting quality effectiveness of healthcare services and benefit utilization.

Utilization Management Clinician - Behavioral Health

The Behavioral Health Care Manager at PerformCare Pennsylvania is a key member of the collaborative care team, responsible for utilization management, case and care management, and coordinating behavioral health care for members. This role involves working closely with members, their families, behavioral health providers, and medical providers to ensure comprehensive and quality care. The position is remote and requires a Master's Degree in Social Work, Mental Health Counseling, Psychology, or Nursing, along with a relevant Pennsylvania license.

Behavioral Health Care Manager--PerformCare Pennsylvania

Behavioral Health Care Manager

The Clinical Case Manager Behavioral Health at CVS Health is responsible for utilizing advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services. This role aims to promote effective utilization of available resources and optimal, cost-effective outcomes. The position is fully remote in the USA, with standard business hours Monday to Friday, no weekends or holidays.

Clinical Case Manager Behavioral Health DSNP-Spanish Speaking

Clinical Case Manager Behavioral Health

The Behavioral Health Case Manager, RN at Health Plans, Inc. is responsible for the coordination of services and cost-effective management of health care resources to meet individual members' health care needs and promote positive health outcomes. This role involves communication with members, physicians, and other health care professionals, telephonic assessment for discharge outreach, determination of case management outcomes, advocacy for health benefit plan options, and ensuring excellent communication among the member, family, and health care team.

Behavioral Health Case Manager, RN (Remote)

Behavioral Health Case Manager, RN

The Behavioral Health Network Relations Manager at CVS Health is a full-time, remote role focused on managing relationships with larger and more complex behavioral health providers. This individual will act as the primary resource for assigned providers, overseeing risk management, maintaining positive relationships, and supporting high-value initiatives to achieve provider satisfaction, cost targets, network growth, and efficiency targets. The role involves cross-functional collaboration, issue resolution, and ensuring compliance with contract policies and procedures.

Behavioral Health Network Relations Manager

The Behavioral Health Case Manager at Molina Healthcare will work remotely to support the Medicaid Behavioral health population, requiring excellent computer skills and attention to detail. This role involves multitasking between systems, talking with members on the phone, and entering accurate contact notes in a fast-paced environment. Local travel to the office in Troy, MI, for team meetings or trainings may be required.

Case Manager - (SUD)

Behavioral Health Case Manager

The Registered Nurse in Behavioral Health at Banner Del Webb Medical Center is responsible for assessing, planning, implementing, evaluating, and documenting nursing care of patients in accordance with organizational policies and professional nursing practice standards. This role involves caring for a wide range of mental health diagnoses requiring acute medical care, including children and adults. The position offers a full-time schedule with day shifts, including weekends and holidays on a rotating basis, and provides opportunities for self-scheduling and additional weekend shift differentials.

Registered Nurse RN Behavioral Health

Registered Nurse Behavioral Health

The Utilization Review Clinician - Behavioral Health at Centene Corporation performs a clinical review and assesses care related to mental health and substance abuse. This role involves evaluating member's treatment, performing prior authorization reviews, concurrent review of behavioral health inpatient services, analyzing member data to improve quality and utilization of services, and engaging with medical directors and leadership to enhance care efficiency. The position is remote and available to candidates located and licensed in Kansas.

Utilization Review Clinician - Behavioral Health

The Behavioral Healthcare Manager at AmeriHealth Caritas is responsible for the daily functions of the clinical department, including triage of calls, care coordination, and utilization management. This role facilitates access to behavioral health, substance use, and intellectual/developmental disabilities therapeutic services, ensuring that every youth receives the right services at the right time as part of an integrated service plan. The manager makes timely intensity of services determinations based on the urgency of need, including the management of emergencies, which includes access to mobile response services.

Behavioral Healthcare Manager - Tuesday through Friday, 10:00 p.m. EST to 8:00 a.m. EST

Behavioral Healthcare Manager

This job involves implementing effective utilization management strategies, including reviewing the appropriateness of health care services, applying criteria to assure appropriate resource utilization, identifying opportunities for referral to a Health Coach/case management, and resolving quality issues. The role monitors and analyzes the delivery of health care services, educates providers and members, and develops strategies to improve provider performance/satisfaction and member satisfaction. Responses to customer inquiries and interventions or alternatives are offered.

Care Manager Behavioral Health (Remote)

Care Manager Behavioral Health

The Behavioral Health Absence Specialist at UPMC Health Plan and Workpartners will focus on behavioral health disability case management activities, including advising employees and managers on leave and disability policies, coordinating the leave process, and collaborating with health care providers to support the return-to-work process. This role may work remotely and requires an independently licensed mental health professional with a minimum of two years' experience in clinical case management.

Behavioral Health Absence Specialist

The Care Manager, Behavioral Health at Magellan Health Services is a remote position supporting Louisiana, requiring a license in Louisiana. This role involves authorizing and reviewing utilization of mental health and substance abuse services, collecting and analyzing utilization data, assisting with discharge planning and care coordination, and participating in quality improvement projects. The position requires strong organization, time management, and communication skills, as well as knowledge of utilization management procedures, mental health and substance abuse community resources, and providers.

Care Manager, BH - Remote (Louisiana license required)

Care Manager, Behavioral Health

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Behavioral Health Professional I Jobs in Surprise, AZ Hiring Now