Behavioral Health Utilization & Review Manager
Case Management Society of America (CMSA) ®
Case Management Society of America (CMSA) ® is seeking a Behavioral Health Utilization Manager to perform concurrent and discharge reviews for patients. The role requires relevant nursing qualifications and experience in utilization review within managed care. Successful candidates will need a Bachelor’s degree in nursing, a current Texas state RN License, and two years of experience in psychiatric care and utilization review. The position offers benefits through Harris Health and supports an Equal Opportunity Employer commitment. #J-18808-Ljbffr Case Management Society of America (CMSA) ®
- ...Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department... ...County taxpayers. JOB SUMMARY Behavioral Health Utilization Manager will perform concurrent and discharge reviews on assigned patients. Applies...SuggestedContract workWork experience placementRemote work
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- Overview Harris Health System is the public healthcare safety‑net... ...primary care, wellness, disease management and population health... ...Houston. Job Summary The Manager, Utilization Management (MUM) coordinates... ...utilization of resources, utilization review and management. The role will...SuggestedWork experience placementWork at officeRemote workFlexible hoursWeekend work
- Overview The Utilization Management Leader oversees clinical and nonclinical team operations, including case management, concurrent review, prior authorization, call center support, and letter review... ...' benefits are provided by Harris Health. These benefits are designed to...SuggestedWork at office
- ...Behavioral Health Care Manager As a patient and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting... ...processes and medical billing/coding. Experience with reviewing medical records and working within clinical trials. Proven...SuggestedFull timeRemote workWork from home
$73.1k - $142.55k
...Employee for this role must reside in Texas* Job Summary Behavioral Health Program Manager provides subject matter expertise and leadership to... ...3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral...Contract workWork experience placementWork at office- ...Branches Wellness Horizon Health is seeking a Marketing Manager for our BRAND NEW... ...for achieving the budgeted utilization of the organization's continuum... ...elements that drive ADV Review reports that impact marketing... ...of hospital and behavioral healthcare services, Thousand...Full timeContract workTemporary workLocal areaRemote workFlexible hours
- ...The Team Manager is the leader of the Patient Care... ...other social service and health care providers in the... ...interdisciplinary plan of care. Reviews information on all... ...customer service behavior Oversees staff and... ...program review. Performs utilization review of continuous care...Contract workLocal area
- ...their journey to improved health. Our commercial team... ...objectives and utilize all available resources... ...territory objectives Reviews sample test results with... ...Regional Sales Director, Managed Markets team, and other... ...and changing customer behavior Aptitude for rapid learning...Work at officeNight shiftWeekend work
- ...Description The Team Manager is the leader of the... ...social service and health care providers in the... ...interdisciplinary plan of care. Reviews information on all... ...customer service behavior Oversees staff... ...review. Performs utilization review of continuous...Contract workLocal areaFlexible hoursNight shiftWeekend workDay shiftWeekday work
- Neighborhood Engagement Manager Suvida Healthcare LLC... ...address the physical, behavioral, social, and cultural... ...support team creating health equity through an exceptional... ...with prospective, review personal and team... ...team in the community. Utilizes available marketing and...Local area
- A healthcare company in Houston is seeking a Behavioral Health Care Manager to support patients and caregivers dealing with neurodegenerative diseases. You will coordinate care within a Collaborative Care Model, ensuring comprehensive mental health support. Ideal candidates...Remote jobWork from home
- ...Harris Center for Mental Health and IDD ("The HARRIS... ...on performance management, employee engagement,... ...Facilitate regular business reviews with leadership to assess... ...Texas. As the largest behavioral and developmental... ...in the nation. By utilizing the unique expertise of...Work experience placementLocal area
$100k - $140k
...Join Mainframe Solutions as a Project Manager in Houston, TX, supporting municipal construction... ...projects across concrete, underground utilities, and paving. This onsite role provides... ...will be secondary, assisting with bid review, cost input, and scope alignment when...Work experience placementFor subcontractor- ...we live, work, and build. The Project Manager will act as the liaison between Flintco,... ...supervision to project personnel on assigned Utility-Scale PV build-out Solar Projects and... ...to perform the essential functions. • Review preparation and culmination of project...Contract workFor contractorsFor subcontractorWork at office
- ...landscape architecture, construction management, survey and environmental... ...to include outstanding health care, generous 401(k) match,... ...responsibility for Subsurface Utility Engineering (SUE) and utility... ...assurance/quality control (QA/QC) reviews of field data and...Local areaRemote workRelocationFlexible hours
- Exceptional Wellness, Inc is seeking a Houston Bilingual Behavioral Health Case Manager for our community based mental health organization to serve as a Qualified Mental Health Professional (QMHP). Our QMHP services follow a strengths-based, client-centered model that...
- Acadia Healthcare is seeking a skilled Territory Manager/Business Development Specialist for a remote position based in Houston. Your... ...strategies. The ideal candidate will have a background in behavioral healthcare consultative sales with a strong focus on personal...Remote job
- Exceptional Wellness is looking for a dedicated Behavioral Health Case Manager in Houston to provide support as a Qualified Mental Health Professional. The role includes developing tailored treatment plans for children and families using a strengths-based approach. Candidates...
- Exceptional Wellness is seeking a Bilingual Behavioral Health Case Manager in Houston to provide bilingual support in a hybrid work role. The ideal candidate should possess a Bachelor’s degree in psychology or a related field. Responsibilities include developing treatment...
- ...clinical outcomes. Nexus Health Systems is seeking an... ...closely with Clinical Liaisons, Utilization Review, Admissions, and operational... ...Clinical Referral Management Evaluate incoming patient... ...Experience in rehabilitation, behavioral health, long-term acute care...
- A healthcare organization in Houston is seeking a qualified behavioral health professional to join their dedicated team. The role focuses... ...experience in behavioral health services. Competitive compensation and benefits are included. #J-18808-Ljbffr Healthcare Case Management
$122k - $156k
Direct Jobs is seeking a Director of Behavioral Health in Houston, Texas. The role involves the operational management of the Behavioral Health team, human resources, quality, and financial management. Candidates must possess a Master's degree in social work or counseling...- Texas Children's Hospital in Houston is seeking a Behavioral Health Clinical Manager. This role involves managing daily clinic operations and leading the clinical team to provide high-quality, family-centered patient care. The ideal candidate will have strong communication...
- ...Houston Methodist, the Manager Case Management &... ...the most cost-effective utilization of the hospital's resources... ...; modifying one’s own behavior to accommodate tasks,... ...meetings to review policies and procedures... ...treatment/care planning and health promotion. Generates...Permanent employmentContract workImmediate startFlexible hours
- ...application process. MATERIALS MANAGER Full Time Bellaire, TX, US 5... ...ID: 1848 About Legent Health At Legent Health , our mission... ...improvement of material flow, utilization analysis and supply chain optimization... ..., feedback, and performance reviews. Develop talent through...Full time
- ...seeking a Bi-lingual Mental Health Case Manager to join our team! You will provide... ...in social work and behavioral health, demonstrating the ability... ...in urgent situations. Utilize motivational interviewing techniques... ...clients. Implement and review treatment plans....
$79.46k - $119.2k
...Telephonic Nurse Case Manager II Location: This role... ...designed to optimize member health care across the care... ...with development of utilization/care management... ...quickly. Ability to manage, review and respond to emails/... .... Our values and behaviors are the root of our culture...Full timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayAfternoon shift1 day per week- ...Telephonic Nurse Case Manager II Location: This... ...designed to optimize member health care across the care... ...with development of utilization/care management... ...associates. Our values and behaviors are the root of our culture... ...Florida law should review the education and...Full timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shift1 day per week
- ...Director of FacilitiesNexus Health SystemsPosition... ...expert for Facilities Management, Environment of Care (... ...care across pediatric behavioral health, inpatient rehabilitation... ...plants, grounds, utility systems, and building... ...infrastructure. Review maintenance documentation...For contractorsLocal area
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