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Humana
Indianapolis, IN, United States
Become a part of our caring community and help us put health first Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2, Behavioral Health (Field Care Manager 2 - BH) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interacti
Job Source: HumanaCenterWell Home Health
Indianapolis, IN, United States
Become a part of our caring community and help us put health first Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2, Behavioral Health (Field Care Manager 2 - BH) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interactio
Job Source: CenterWell Home HealthHumana
Indianapolis, IN, United States
**Become a part of our caring community and help us put health first** Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2, Behavioral Health (Field Care Manager 2 - BH) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate inter
Job Source: HumanaHumana
Indianapolis
**Become a part of our caring community and help us put health first** This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the Autism Care Demonstration (ACD) defined in the TRICARE Operations Manual Chapter 18, section 4. This associate will conduct clinical necessity reviews for
Job Source: HumanaThe Skin Clique
Indianapolis
Join Skin Clique, where joyful medicine meets passion and precision! Practice Description We're revolutionizing healthcare with personalized aesthetic treatments delivered to patients' homes or preferred locations through our concierge service model. Our commitment to excellence extends beyond traditional clinic settings, offering convenience and c
Job Source: The Skin CliqueElevance Health
Indianapolis
**Location:** **Must live in one of the coverage areas:** **Valparaiso,** **IN (Coverage area of Lake and Porter counties).** **You will not work outside of your local area.** **Remote position with 50% Field Work in assigned geographical location and 50% Work From Home. This includes field visits to member's homes, provider's offices, or other loc
Job Source: Elevance HealthIndiana University Health
Indianapolis, IN, United States
Job Description Riley Children's Health is currently seeking a strategic and innovative leader, who is results-oriented and inspired by meaningful work. The Clinical Group Programming Manager will have oversight of clinical services and operations for our Behavioral Health Inpatient and Psych Holding Departments. They will have interdisciplinary c
Job Source: Indiana University HealthElevance Health
Indianapolis, IN, United States
Anticipated End Date: 2024-06-30 Position Title: Behavioral Health Case Manager I - Indiana Job Description: Position specific details: The successful candidate will be licensed and domiciled in Indiana. The ideal candidate will have experience working with the geriatric population and/or long-term services and support experience. This is a memb
Job Source: Elevance HealthIndianapolis
**Schedule: Sunday -Thursday 8am-5pm EST**
**Position specific details: The successful candidate will be licensed and domiciled in Indiana. This is hybrid/remote role where the hired candidate may be asked to work in office as needed.**
The **Behavioral Health Care Manager I** - **Indiana** is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.
Primary duties may include but are not limited to:
+ Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract.
+ Refers cases to Peer Reviewers as appropriate.
+ Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources.
Position requirements:
+ Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
+ Current active unrestricted license, such as RN, LCSW, LMHC, LPC, LMFT to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.
+ Licensure is a requirement for this position.
+ Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.
+ For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Email Alert for Behavioral Health Care Manager I - Indiana_ jobs in Indianapolis
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