Remote Senior Manager, Behavioral Health Utilization
Centene Management Company LLC
- Remote job
Centene Management Company LLC is seeking a remote Utilization Management leader to oversee BH UM clinicians and ensure appropriate care for members. The role involves guiding UM practices, tracking performance, and aligning with regulatory standards. Requires nursing or related graduate and 6+ years experience with management. Licenses such as LCSW, LMHC, LPC, LMFT, LMHP, or RN are acceptable. Competitive benefits with flexible remote work options. #J-18808-Ljbffr Centene Management Company LLC
$102.9k - $190.5k
Position Purpose Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care to members. Oversees and works with senior leadership on utilization management issues related... ...management. This is a remote opportunity supporting BH UM. Applicants...Remote workSeniorWork at officeFlexible hours- Centene Corporation seeks a senior leader to manage BH utilization review clinicians in a remote capacity, ensuring compliant, cost-effective member care and coordinating with BH senior leadership on UM strategies. The role requires an active clinical license (LCSW, LMHC...Remote jobSenior
- ...Corporation invites applications for a Lead Care Manager position focused on pediatric and maternity care management. The role is remote with residency required in North Carolina... ...-Fri 8:00-17:00, with focus on complex behavioral health and social determinant care plans....Remote jobSenior
- Centene Management Company LLC in North Carolina seeks a Lead Care Manager to oversee complex behavioral health care management for pediatric and maternity populations. The role covers... ...to Raleigh or Charlotte as needed. Remote-friendly, the position requires residing...Remote workSenior
- Optum, a global health services company, seeks a Clinical Program Manager to lead a remote team of Behavioral Health Advocates delivering case management for inpatient and outpatient services across MO, WI, and KY. The role requires Missouri licensure, 5+ years in Behavioral...Remote jobSenior
$110k - $130k
...clinical nutrition care, behavior change tools, and... ...to improve member health outcomes while... ...national Medicaid managed care organizations... ...the Role: The Senior Account Manager is... ...enrollment, utilization, engagement, and clinical... ...Location: Remote, USA Base Salary...Remote jobSeniorFull timeContract workLocal areaFlexible hours- ...Shift: First (Days) Overview: Sentara Health is hiring for a Manager, Behavioral Health Care Management - PHP/IOP... ...support processes, resource utilization, and operational problem solving.... ...For positions that are available as remote work, Sentara Health employs associates...Remote workPermanent employmentFull timeTemporary workShift workAfternoon shift
$213k - $263k
...and reports to an Engineering Manager. You will: Lead ML... ...for safety critical driving behaviors to evaluate and enhance the performance... ...~ Ability to learn and utilize new frameworks quickly,... ...if the role can be performed remote, the specific salary range for...Remote workSeniorFull time$73.6k - $110.4k
...Behavioral Health Care Manager Pay Range: $73,600.00 - $110,400.00 Email HR_Talent_AcquisitionTeam... ...work arrangements that include remote and hybrid opportunities and paid time... ...coordination of care Collaborate with the Utilization Review process including pre-...Remote workWork at officeWork from homeFlexible hours2 days per week1 day per week- ...compensation Coverage: Health, vision and dental... ...improved outcomes Performs utilization review and case management support on complex members... ...including applicable medical or behavioral health conditions,... ...the sensitive data entrusted to us. #LI-HW1 #LI-Remote...Remote workPermanent employmentFull timeCasual work
$2,500 per month
...Humana is looking for a Field Care Manager, Behavioral Health to join the IL Medicaid team. In this... ...Position Responsibilities: ~ Utilize high-quality, evidence-based behavioral... ...Information ~ Workstyle: This is a remote position that will require you to travel...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$73k - $149.6k
...Santa Monica, CA, USA Onsite or Remote Fully On-Site Work Schedule... ...As a leader within the Behavioral Health Associates (BHA) team, this... ...of clinical services, this Manager plays a key role in ensuring... ...clearly convey information utilizing appropriate vocabulary and grammar...Remote workPrivate practiceWork at officeMonday to FridayAfternoon shift$80k - $87k
...exceptional mental health outcomes?Community... ...Role: The Program Manager, Outpatient... ...individuals with behavioral health needs. The... ...consultation and care utilizing evidence-based practice... ...accommodation. Seniority level Seniority level... ...(FULL TIME REMOTE) Denver, CO $160,0...Remote workFull timeTemporary workWork at officeLocal areaMonday to FridayShift work- ...Enterprise Clinical Services. You will guide benefit determinations and support cost-effective, high-quality care for members. You'll work remotely from anywhere in the U.S., collaborating with a multidisciplinary team, participating in holiday and call coverage, and ensuring...Remote jobSenior
- ...leader to assist the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing. The role provides medical leadership for utilization management, cost containment, and quality improvement activities, ensuring timely...Remote job
$115k - $125k
...families. Our programs deliver remote and in-person services to... ...values. The Senior Clinical Manager provides leadership, oversight... ...Director in executing the Behavioral Health Annual Plan by providing... ...continuously. Utilize computer and cell phone....Remote workSeniorFull timeCasual workWork at officeLocal areaWork from homeFlexible hours$149k - $198.5k
Mission Summary:The AV Behavior Design and Evaluation... ...assessment of the AV behavior utilizing the concept of AV... ...development teams and management and facilitate... ...this role can be fully remote.The salary range for this... ...with a company match, health saving accounts, life...Remote workSeniorWork at office- WORK ARRANGEMENT: Remote, with occasional travel as needed for meetings, audits... ..., training, policy and procedure management, corrective action oversight, and performance... ...improvement across Physical Health Utilization Management, Behavioral Health Utilization Management,...Remote workSenior
- ...Carolina, with a strong focus on physical health utilization management and clinical leadership. The role collaborates with medical, behavioral health, and care management teams to... ...across UM functions while accommodating primarily remote work with a North #J-18808-LjbffrRemote work
$25k
...of our caring community The Field Care Manager, Behavioral Health performs primarily face to face and... ...management... Position Responsibilities Utilize high-quality, evidence-based... ...Additional Information Workstyle: This is a remote position that will require you to travel...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- About Us Elliot Behavioral Health Services is staffed by a team of mental... .... Medication evaluation and management services are designed to treat... ...- M, W, F - Office, T, Th - Remote Behavioral Health Case... ...primarily remote, and employee must utilize all designated communication...Remote workPermanent employmentFull timeTemporary workPart timeWork at officeHome office
$54.1k - $129.62k
We're building a world of health around every individual - shaping a more... ...community at a time. Bilingual Behavioral Health Case Manager (Licensed) 100% Remote | Anywhere in the U.S. | Monday-Friday... ...individualized care plans Utilize Motivational Interviewing techniques...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayAfternoon shift- Nationwide Children’s Hospital is seeking a Behavioral Health Utilization Review Specialist to review cases, determine medical necessity, and ensure compliance with guidelines. The role conducts pre-certifications, pre-authorizations, and retrospective reviews, collaborating...Remote jobWork at officeWork from home
- ...Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical... ...retrospective reviews, denial management, documentation, and data analysis... ...training, the position offers remote work from home options. #J-188...Remote jobWork at officeWork from home
$90k
...affordable, improve the health of patients, and... ...Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to... ...clinical review, medical and behavioral health assessments,... .... Knowledge of utilization review, quality improvement...Remote workBi-weekly payFull timeTemporary workFor contractorsWork experience placementLocal areaWork from homeHome officeWeekend work$150k - $190k
...a state‑based mental health pod serving thousands... ...patients annually, including utilization, access, intake... ...and reduce no‑shows. Manage referral flow from PM... ...experience in mental health or behavioral health settings. 3+... ..., team meetings) and remote work (administrative...Remote workLive in$223.8k - $313.1k
## Medical Director Behavioral Health, MedicaidApplylocations: Remote Nationwide: Remote Louisiana: Remote Indianatime... ...possible participation in care management, with clinical scenarios arising... ...services* Experience in **utilization management** review and case management...Remote workWeekly payFull timeTemporary workWeekend work$78.5k - $90k
Help Drive the Success of Behavioral Health Reimagined Gracie Square Hospital is a leading behavioral health facility in New... ...by taking your career - to the next level. Care Manager Behavioral Health - Utilization Management In this role, the Care Manager conducts managed...Full timeMonday to FridayDay shift- The Institute for Nonviolence Chicago seeks a Clinical Manager for the Behavioral Health and Wellness team. This senior, dual-track role combines clinical oversight with administrative ownership to support participants affected by trauma and violence. You will supervise...Senior
$210k - $245k
...clinical nutrition care, behavior change tools, and... ...to improve member health outcomes while... ...national Medicaid managed care organizations... ...’re looking for a Senior Director of... ...with it for cost and utilization analysis. Direct... ...Intelligence Location: Remote, USA Base Salary...Remote workSeniorLocal areaFlexible hours
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