Utilization Review & Case Manager - Behavioral Health
Luminis Health
Luminis Health in Bowie, MD, is seeking a Utilization Review/Case Manager for the Partial Hospitalization Program. The role performs concurrent utilization review and manages case referrals, collaborating with clinical staff to secure documentation for review and optimal patient placement. In coordination with managed care and external payors, you will ensure appropriate case management, determining admission, pre-authorization, and ongoing review across clinical areas. #J-18808-Ljbffr Luminis Health
$81.97k - $122.95k
Luminis Health Title: Utilization Review/Case Manager-Partial Hospitalization Program Department: Lanham Partial Hospitalization Reports To: Director- Clinical Director Behavioral Health Lanham Cost Center/Job Code: 41000-42002-001148 FLSA Status: Exempt Position Objective...SuggestedFull time$64.4k - $79.86k
...education, relevant case management experience and relevant... ...Halls and Annual Reviews Our roots at SCI extend... ...with disabilities, behavioral challenges, medically... ...Maryland Department of Health’s Targeted Case... ...Meets performance utilization benchmark to ensure compliance...SuggestedTemporary workH1bLive inWork at officeLocal areaWork from homeShift work$19.79 - $20.45 per hour
...to 25% Job Shift: 8-5 M-F may vary Job Category: Health Care Under the supervision of the Center Manager, this position is responsible for the delivery of... ...community supports to persons with severe and persistent behavioral health illness, as defined by the state authority,...SuggestedHourly payFull timeContract workWork at officeShift work- ...is hiring for a full-time position in Bowie, TX to provide clinical services and community supports to individuals with severe behavioral health illness. Responsibilities include assisting consumers, conducting assessments, and providing crisis interventions. The ideal...SuggestedFull time
- ...Job Description Case Manager Career Opportunity Recognized for... ...home and heart? Join Encompass Health, where being a Case Manager... ...department operations. Review/analyze case management... ...record. Participate in utilization review process: data collection...SuggestedFull timeContract workPart timeFlexible hours
$45k - $50k
...addiction treatment, mental health recovery and eating disorder... ...Healthcare offers comprehensive behavioral healthcare defined by... ...clients who are in crisis mode to utilize the least restrictive procedure... ...the confiscation and inventory management of client items. Assist Human...Full timeFlexible hoursShift work$64.4k - $79.86k
...education, relevant case management experience and relevant... ...Halls and Annual Reviews Our roots at SCI... ...people with disabilities, behavioral challenges, medically... ...Department of Health's Targeted Case Management... ...Meet performance utilization benchmark to ensure compliance...Temporary workLive inLocal areaShift work$105k - $115k
...Job Description Job Description Clinical Manager – Behavioral Health Crisis & Stabilization Programs (MCRT/MRSS) JOB TYPE: Full-time LOCATION... ...unlicensed clinical staff and consult on complex crisis cases • Manage InSync (Qualifacts) workflows, templates, and documentation...Full timeWeekend workAfternoon shift$50k - $60k
...Baltimore BTST Services is seeking an organized and compassionate Behavioral Health Intake Coordinator to help new clients successfully begin... .... Process initial and concurrent service authorizations. Review referral documentation for accuracy and completeness. Create...Full timeWork at officeMonday to FridayFlexible hours- ...Inc. is a thriving not-for-profit mental health organization with a strong financial... ...in Maryland. We provide comprehensive behavioral healthcare services, including clinic facilities... ...disorders. We're currently seeking a Case Manager to join our Lanham Region's PRP program...Bi-weekly payFull timeTemporary workMonday to FridayNight shiftWeekend work
$112.6k - $145k
...Overview: Inovalon’s Insights business unit is seeking a Senior Manager, Health Economics and Outcomes Research to join its Insights Business... ...claims database analysis, economic modeling, literature reviews, evidence gap assessments, or similar themesManage multiple mid...H1bWork at office$149.1k - $180k
...Inovalon is looking for a Director, Health Economics and Outcomes... ...business with existing clients. Utilize superior consulting acumen to... ...sales, revenue, and project management.Plan and manage work requests... ...with legal requirement. To review the legal requirements, including...Work experience placementInterim roleH1bWork at officeImmediate start- Vesta, Inc. in Lanham is hiring a full-time Case Manager to support clients facing mental health challenges. This role requires a graduate or bachelor's degree with relevant experience, and at least 3 years in case management. Responsibilities include providing counseling...Full timeFlexible hours
$80k
...referral sources.Regularly review documentation to... ...emergency procedures, oversee Utilization Review, Quality... ...Assist in the overall management of the program and staff... ...-based specialized health care. We believe that... ...physical, intellectual, or behavioral challenges they face....Full time$21 - $23 per hour
...Maryland is hiring for a full-time Case Manager to be based out of our main... ...regarding client’s health and medications to staff in various... ...medical updates for clients Review incident reports for medical... ...complete initial and annual behavior modifying medication plans for...Daily paidFull timeWork at officeImmediate startMonday to FridayFlexible hoursShift work$3,550 per month
...Case Manager Full Time - Day shift (Monday - Friday 8 hour shifts rotating... ...care for patients at Luminis Health to support safe seamless... ...across the continuum. Utilizing a collaborative process will... ...to submit appropriate denial review for Medicare Medicaid and commercial...Full timeMonday to FridayRotating shiftDay shift- ...resources, and live optimally. Ideal for those expanding their case management experience or entering the field. Key Responsibilities ~... ...Manage a caseload of up to 55 Clients. ~Promote positive health behaviors and educate clients on self-direction principles,...Work at officeRemote workFlexible hours
$35 - $50 per hour
...Position Objective: The Case Manager works under the direction of... ...care for patients at Luminis Health to support safe, seamless,... ...across the continuum. Utilizing a collaborative process, will... ...to submit appropriate denial review for Medicare, Medicaid and commercial...Full time$86k - $126k
...principles of applied behavior analysis (ABA), which is... ...telemedicine: Free mental health & wellness support... ...to the Group Clinical Manager. ESSENTIAL DUTIES AND... ...meetings (i.e., IEP, peer reviews) Stay up to date on best... ...street Be able to utilize continuous visual tracking...Work at officeRemote workRelocationRelocation packageFlexible hours$65k - $68k
...WHAT YOU WILL DO As the Internal Case Manager (PCP Specialist) you will be responsible... ...program implementation by checking records, reviewing data regularly, observing staff and... ...document and keep data, and access and utilize database records. Participates in Incident...Full timePart timeWork at officeRemote work- ...Summary The Regional Clinical Manager is a leadership role... ...calls that are urgent in nature. Review safety reports, investigate root... ...Clinical Documentation and Resource Utilization : Ensures appropriate... ...models high performance and behavior standards Pursues everything...Work at officeLocal areaShift work
$85k - $110k
Join to apply for the Behavioral Health Program Manager role at University of Maryland 5 days ago Be among the first 25 applicants Join to apply for the Behavioral Health Program Manager role at University of Maryland University of Maryland provided pay range This range...Full timeContract workInternshipWork at officeRemote work- ...workflows, surgical scheduling, and medication management support. This role ensures safe,... ...of surgical scheduling to ensure optimal utilization and coordination.Maximize Throughput:... ...Huddles: Lead daily clinical huddles to review schedules, staffing, patient needs, safety...
- ...potential. The Delegating Nurse Case Manager (DNCM) is a licensed... ...oversee the implementation of health services in Assisted Living... ...inspections, and licensing reviews as needed. Communication &... ...physical, intellectual, or behavioral challenges they face. We’ve...Work at officeFlexible hours
$45k - $50k
A leading behavioral healthcare provider in Bowie, Maryland, seeks a BHT Supervisor to oversee staff engagement, training, and compliance. The role includes developing schedules, providing direct supervision, and collaborating with clinical staff on patient goals. Applicants...- ...including home consultations for complex cases. Provide 24/7/365 on-call physician... ...and support regulatory reviews. Participate actively in interdisciplinary... ...patient care and medication management. Monitor pharmacy utilization, ensuring appropriate medication prescribing...Daily paidFull timePart timeLocal area
- ...Holidays• 401(k) Matching • Health Insurance• Vision Insurance... ...facilities and the provision of management services and evidence-based... ...counselors).Responsible for reviewing, editing, and signing all... ...working knowledge of cognitive behavioral therapy programs; and proven...Contract workWorldwideFlexible hours
$218.2k - $272.78k
...consultations for complex cases.Lead physician recruitment... ...documentation and support regulatory reviews.Participate actively in... ...care and medication management.Monitor pharmacy utilization, ensuring appropriate... ...care, palliative care, home health care, and advanced illness...Daily paidFull timeTemporary workPart timeLocal area$100k - $120k
...visionary Board Certified Behavior Analyst (BCBA) to step... ...: Comprehensive Health, Dental, and Vision insurance... ...Provide direct management and mentorship to Board... ...regular observations, data reviews, and staff performance... ..., monitoring hour utilization to meet company goals...Full timeImmediate startMonday to Friday$69.72k - $103.77k
Chapters Health System is seeking a dedicated RN, Case Manager in Lanham, Maryland. The role involves assessing patient needs, coordinating care with the Interdisciplinary Team, and providing essential support to ensure patients remain in their homes. Qualified candidates...
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