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Keywords: Utilization Management RN - Behavioral Health (CA Licensed), Location: California

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Utilization Management RN - Behavioral Health (CA Licensed)

, Commercial, etc.) 2+ years of utilization management experience Strong knowledge of utilization management processes... clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special...

Location: California
Posted Date: 21 Feb 2025
Salary: $70000 - 100000 per year

Behavioral Health Care Manager Remote, must be Licensed and Reside in California

independent behavioral health or RN (with psychiatric/behavioral health) licensure is required. CEAP requirement does... management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community...

Company: Magellan Health
Location: San Diego, CA
Posted Date: 14 Feb 2025
Salary: $58440 per year

Case Manager, RN - Utilization Review

, Maternal-Child Health, Behavioral Health and Emergency and Trauma Care. In addition, the hospital offers a broad array... health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate...

Posted Date: 18 Apr 2025

Case Manager, RN - Utilization Review

, Maternal-Child Health, Behavioral Health and Emergency and Trauma Care. In addition, the hospital offers a broad array... health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate...

Posted Date: 27 Mar 2025

Manager II Behavioral Health Services

for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) or a combination of both functions..., consistent with the law. Job Level: Manager Workshift: Job Family: MED Licensed/Certified Behavioral Health Role...

Company: Elevance Health
Location: Woodland Hills, CA
Posted Date: 21 Mar 2025
Salary: $98256 - 153792 per year

Senior Behavioral Health Care Advocate

.D., or an RN with experience in behavioral health Licenses must be independent, active and unrestricted in the State of California... dependency patients and support the larger Utilization Management (UM) team with data entry and questions. There are multiple...

Location: San Diego, CA
Posted Date: 25 Apr 2025
Salary: $71600 - 140600 per year

Care Manager, Health Plan - Licensed / Remote in CA

. Knowledge of utilization management procedures, mental health and substance abuse community resources and providers. Knowledge... high and moderate members with behavioral health conditions identified and assessed as requiring intensive interventions...

Company: Magellan Health
Location: San Diego, CA
Posted Date: 02 Apr 2025
Salary: $64285 per year

Care Manager, Health Plan - Licensed / Remote in CA

. Knowledge of utilization management procedures, mental health and substance abuse community resources and providers. Knowledge... high and moderate members with behavioral health conditions identified and assessed as requiring intensive interventions...

Company: Magellan Health
Location: San Diego, CA
Posted Date: 02 Apr 2025
Salary: $64285 per year

Licensed Clinician, Senior

Job Description: Your Role The Behavioral Health Utilization Management team performs prospective, concurrent... Manager of Behavioral Health Utilization Management (BH UM). In this role you will conduct clinical review of mental health...

Posted Date: 09 Apr 2025

Manager of Case Management (5 yrs of experience required) (ADN Required)

and treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Maternal-Child Health, Behavioral Health... point of their admission and across the continuum of the health care management. The methodology is designed to facilitate...

Posted Date: 04 Apr 2025
Salary: $103916.8 - 139838.4 per year

Outpatient RN with UR Functions (Roseville)

their treatment goals. Offering premiere behavioral health services for individuals experiencing psychiatric and /or substance abuse... with health team members in accordance with the nursing process and the standards of care and practices. The Utilization Review...

Posted Date: 10 Apr 2025

ED CASE MANAGER (RN/LIC) - Full Time - 12 hours

) years of acute care clinical experience. Two (2) years’ experience clinical Case Management or Utilization Review... subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points...

Posted Date: 26 Apr 2025

Call Center Registered Nurse (RN)

across outpatient sites, and ensure that services are facilitated and coordinated with the Business Office, Utilization Management... of Behavioral Sciences as an LCSW, MFT, LPCC, or Associate/Intern preferred OR Currently licensed to practice by the California...

Posted Date: 10 Apr 2025

CASE MANAGER (RN/LIC) - Full Time

clinical experience. Two (2) years’ experience clinical Case Management or Utilization Review preferred Completion... subsidiaries, UHS operates 28 acute care hospitals, 335 behavioral health facilities, 40 outpatient facilities and ambulatory care...

Posted Date: 19 Mar 2025

Outpatient RN with UR Functions (Roseville)

their treatment goals. Offering premiere behavioral health services for individuals experiencing psychiatric and /or substance abuse... with health team members in accordance with the nursing process and the standards of care and practices. The Utilization Review...

Location: Sacramento, CA
Posted Date: 11 Apr 2025

ED CASE MANAGER (RN/LIC) - Full Time - 12 hours

) years of acute care clinical experience. Two (2) years’ experience clinical Case Management or Utilization Review... subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points...

Location: Murrieta, CA
Posted Date: 27 Apr 2025

Call Center Registered Nurse (RN)

across outpatient sites, and ensure that services are facilitated and coordinated with the Business Office, Utilization Management... of Behavioral Sciences as an LCSW, MFT, LPCC, or Associate/Intern preferred OR Currently licensed to practice by the California...

Location: Sacramento, CA
Posted Date: 10 Apr 2025

CASE MANAGER (RN/LIC) - Full Time

clinical experience. Two (2) years’ experience clinical Case Management or Utilization Review preferred Completion... subsidiaries, UHS operates 28 acute care hospitals, 335 behavioral health facilities, 40 outpatient facilities and ambulatory care...

Location: Wildomar, CA
Posted Date: 19 Mar 2025

Provider Quality Manager

(United States of America) Job Family: MED Licensed/Certified Behavioral Health Role Please be advised that Elevance... for leading Behavioral Health (BH) provider engagement, with a focus on leveraging the data available to providers and helping...

Company: Elevance Health
Location: Cerritos, CA
Posted Date: 11 Apr 2025
Salary: $86480 - 129720 per year

Program Manager

outpatient medical, community health service delivery, behavioral practice management, or related healthcare experience... of mental health and substance abuse disorders. Licensed in a Behavioral Health area of practice is desirable...

Company: Kings View
Location: Fresno, CA
Posted Date: 23 Apr 2025