Behavioral Health UM Clinician — Care & Outcomes Focus
4004 Aetna Medicaid Administrators
4004 Aetna Medicaid Administrators is seeking a Behavioral Health UM Clinician to conduct clinical reviews for behavioral health services. The role involves coordinating treatment plans, applying clinical guidelines, and facilitating optimal care for members. Candidates should have a Master's-level Behavioral Health license in Ohio and significant clinical experience. This full-time position offers competitive pay and comprehensive benefits, with a required commitment of 40 hours weekly. #J-18808-Ljbffr 4004 Aetna Medicaid Administrators
- ...MetroPlus Health provides the highest quality healthcare services to residents... ...New York State Medicaid Managed Care, Medicare, Child Health Plus,... ...of what you do every day. The Behavioral Health Utilization Management (BH UM) Clinician is responsible for conducting...SuggestedWork at office
- ...social work services may include care coordination, benefit access... ...services based upon clients outcome in the scope of work. *... ...* To provide and coordinate behavioral health care management for patients... .... * Serves as a Senior Clinician and Clinical Supervisor for...SuggestedShift work
$70k - $100k
...Utilization Management RN - Behavioral Health (OR Licensed) Position Responsibilities... ...Perform daily work with a focus on the core principles of managed care: Patient Education, Wellness and... ...optimize decisions and clinical outcomes Ensure individual and team performance...SuggestedMinimum wageWork at officeMonday to Friday$245k - $285k
...Primary Care Physician (Preventive & Lifestyle Medicine Focus) Akido builds AI-powered... ...who believes that health starts with lifestyle... ...advanced practice clinicians, a dietitian,... ...community health, behavior change, and building... ...communication, and improve outcomes Pilot new...SuggestedWork at officeWork from homeWeekend workAfternoon shiftEarly shift$54.1k - $116.76k
...building a world of health around every... ...colleagues who care deeply, innovate... ...(Daily Work) - Behavioral Health Precert/UM (Medicare-aligned... ...management) role focused on behavioral health... ...Precert/UM clinician reviews incoming... ...at risk for poor outcomes and initiate referrals...SuggestedHourly payFull timeTemporary workLocal area$29.1 - $62.32 per hour
...building a world of health around every individual... ...colleagues who care deeply, innovate with... ...Position Summary The Behavioral Health UM Clinician position is designed... ...conditions based upon program focus. Utilizes clinical... ...members at risk for poor outcomes and facilitates...Hourly payFull timeTemporary workLocal area- ...We're Maimonides Health, Brooklyn's largest healthcare... ...of patient-centered care. The system is anchored... ...the country for patient outcomes, including its Heart and... ...Medical/Surgical - Behavioral Health - Gellman 6 East... ...patient's plan of care in focus charting format. Assesses...Part timeImmediate startShift work
$186k - $310k
...Welcome to the world of Behavioral Neurology at White... ...condition requiring expert care. Our Behavioral Neurology... ...long-term brain health. Whether providing advanced... ...out-of-the-box, patient-focused strategies. Here are a... ...ensure the best possible outcome for each patient by...Hourly payLocal area$70 - $77 per hour
...Registered Nurse (RN) | Behavioral Health Location: Brooklyn, NY Agency: Generis Tek Inc... ...are met while delivering patient care. -Oversees patient care area to ensure... ...Inc is a Nursing and Allied healthcare focused staffing firm headquartered in Chicago...Hourly payPermanent employmentFull timeContract workInterim roleWork at officeImmediate startShift work$270.31k - $293.63k
...Psychiatrist Sun River Health provides the highest... ...primary, preventative and behavioral health services to all... ...provides quality care to patients within the... ...patient care and clinical outcomes. Provide supervision... ...Osteopathy (DO) with a focus in Psychiatry Work Experience...Full timeWork experience placementLocal areaRelocation package$2,800 - $3,000 per week
...Registered Nurse (RN) | Behavioral Health Location: Brooklyn, NY Agency: United Health Care Staffing, Inc. Pay: $2,800 to $3,000 per week Shift Information... ..., we handle the gritty logistics so you can focus on saving lives (and actually enjoying your...Full timeContract workWork at officeLocal areaImmediate startMonday to FridayShift work$270.31k - $293.63k
...Description Sun River Health provides the highest... ..., preventative and behavioral health services to all... ...individual provides quality care to patients within the... ...patient care and clinical outcomes. Provide... ...Osteopathy (DO) with a focus in Psychiatry Work...Full timeWork experience placementLocal areaRelocation package$128.15k - $146.97k
Overview Person-Center Care Is At Our Core Over a century ago, NewYork-Presbyterian/Westchester Behavioral Health Center introduced the world to moral, humanistic... ...is a life-changing career journey focused on amazing patient outcomes every step of the way. Each of our...Full timeFlexible hoursRotating shiftDay shiftAfternoon shift- We are more than a health system. We are a belief system... ...guide. We work hard, care deeply and reach... ...or individual (30%). Outcomes Identification/Planning... ...responsibilities require focus on safety, quality and... ...Hours: 32 Department: Behavioral Health Equal Employment...Full timeLocal areaShift workAfternoon shift
$65k - $75k
...00 annually along with comprehensive benefits and the opportunity for professional growth. With a focus on improving patient outcomes through integrated behavioral health, you'll be performing psychosocial assessments, collaborating with the clinical team, and providing...- ...Nurse (RN/LPN) – Managed Care / Appeals &... ...ready documentation within UM and Appeals platforms.... ...rationales, and review outcomes in accordance with regulatory... ...claims, encounter data, and health risk assessments to... ...Clinical expertise in Behavioral Health, Oncology, or Complex...Remote work
$25.08 - $51.49 per hour
...Summary Provides support for care management/care... ...progress toward desired outcomes and contributes to overarching... ...care. This role has a focus on the pediatrics... ...judgment, changes in member health or psychosocial... ...for members including behavioral health, long-term services...Hourly payWork experience placementWork at officeLocal area- ...telehealth organization is seeking a Board-Certified Telemedicine Primary Care Physician to deliver integrated primary and behavioral health care. This role focuses on improving patient outcomes through virtual care while managing both physical and mental health conditions...
$65k - $80k
...transforming whole‑person care. We deliver integrated behavioral and physical health solutions that connect... ...right time—improving outcomes and overall well‑being.... ...Essential Functions The Clinician, C365 will be... ...conducts clinical telephonic focused screenings, provides referrals...Remote workWork from homeFlexible hours- ...Clinician Are you looking to join a dynamic team focused on providing high quality health care to communities across Brooklyn & Queens? If so, you... ...and coordinated behavioral and physical health services... ...increase positive health outcomes. The Clinician is also responsible...Temporary workWork experience placementWork from home
- ...PURPOSE: To support comprehensive behavioral health services across multiple Youth and Family... ...adaptable Licensed Behavioral Health Clinician (Floater) to provide high-quality, culturally... ...pivotal role in ensuring continuity of care, supporting program needs, and...Permanent employmentTemporary workWork at officeLocal areaAfternoon shift
$70k - $100k
...Clearlink Partners is seeking a Utilization Management RN for Behavioral Health in the United States. The role requires a current Oregon RN license and at least 5 years of clinical experience. Responsibilities include assessing appropriateness of services, conducting reviews...Monday to Friday- ...integrating skilled nursing care, crisis stabilization,... ...teams to promote health, safety, dignity, and... ...that complex medical, behavioral, and psychiatric needs... ...response, and document outcomes. ~ Provide direct... ...issues to appropriate clinicians and team members, including...Full timeWork at office
$60.52k - $129.62k
...re building a world of health around every individual... ...passionate colleagues who care deeply, innovate with... ...guidelines for behavioral health and/or medical conditions... ..., based on program focus. Key Responsibilities... ...facilitate optimal treatment outcomes. Identify high‑risk...Full timeLocal areaRemote workMonday to Friday- ...ACT) services are focused on improving or ameliorating... ...to foster health/wellbeing,... ...school, medical, behavioral, psychosocial and... ...Behavioral Health Clinician works as part of a... ...modifying a course of care that supports the... ...focus on achievable outcomes Team player who functions...Work at officeLocal areaAfternoon shift
- Capacity Path in Trevose, PA, is seeking a Licensed Behavioral Health Clinician to join our team. In this role, you will treat a variety of mental... ...approaches and patient assessment will be essential to our mission of delivering quality care. #J-18808-Ljbffr Capacity PathFlexible hours
$75k - $80k
...office. CPC Integrated Health is a recognized... ...in integrated behavioral healthcare and a Certified... ...trauma-informed care delivered in a... ...place to work for clinicians who want to grow professionally... ...doing mission-focused work. Clinicians... ...treatment outcomes. Work cooperatively...Work at officeFlexible hours- ...the full array of necessary physical and behavioral health services and other community‑based... ...develops initial and ongoing clinical plan of care. Updates plan at specified intervals,... ...: Works with physicians and evaluating clinicians for additional medical or mental health...Daily paidTemporary workWork experience placement
- ...A leading managed care organization is seeking an experienced LPN/LVN to conduct... ...Responsibilities include performing UM reviews, communicating outcomes, and maintaining compliance with standards... ..., including a retirement program and health insurance. Opportunities are...Remote work
- Registered Nurse (RN) - Behavioral Health We’re seeking a compassionate RN to join our team in a... ...education, and delivering high-quality care, this is the opportunity for you! What... ...Opportunity to work with a supportive, mission-focused team. Make a real impact on clients’...Monday to FridayFlexible hoursAfternoon shift
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