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

Guideline Healthcare is offering fully remote licensed Therapist / Counselor opportunities, ideal for both full-time and supplemental work. This role focuses on therapy without administrative work, allowing for a flexible schedule with 5-40 hours per week. Therapists will perform their work remotely, as long as they have a reliable internet connection, and will be compensated weekly with a potential first client bonus and a $650 monthly health stipend.

Behavioral Health Counselor - Telehealth

Behavioral Health Counselor

The Field-Based Remote Behavioral Health Case Worker at AmeriHealth Caritas is responsible for managing and coordinating care, services, and social determinants of health for members with behavioral health conditions and acute, chronic, and medically complex needs. This role serves as the primary point of contact for the care team, utilizing strong assessment and communication skills, critical thinking, and clinical knowledge to identify issues, gaps in care, and barriers to care. The position involves developing care plans, supporting members during transitions of care, reviewing medication lists, and maintaining accurate documentation.

FIELD-BASED REMOTE | Behavioral Health Case Worker - Serious Mental Illness (Orangeburg County, SC)

Behavioral Health Case Worker

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 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 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 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

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 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 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 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 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 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

The Supervisor, Care Coordinator at TriWest Healthcare Alliance supervises the daily operations of care coordination services and staff. This role involves ensuring staff is informed of changes impacting their work, advising non-clinical staff, and reviewing the scope of practice for both self and associated staff. The position requires US citizenship and a favorably adjudicated DOD background investigation for those supporting TRICARE contract. Veterans, Reservists, Guardsmen, and military family members are encouraged to apply.

Supervisor, Care Coordinator

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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