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Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

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This role is a Triage call center role with shift being M-F 8:30-5pm PST.
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A California active independent behavioral health licensure is required. (LMSW, LCSW, LSW, LPC or RN)
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CEAP requirement does not apply to this role.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance ab...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
100% Remote Work flexibility to work remote from home in Texas
Requirement: Must have an active and current unrestric...

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choo...

This is a remote position supporting Louisiana. Candidates must be licensed and reside in Louisiana.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge plannin...

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

* This role is a Triage call center role with shift being Monday-Friday 8:30-5pm pacific.
* A California active independent behavioral health or RN (with psychiatric/behavioral health) licensure is required.
*
CEAP requirement does not apply to this role.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of menta...

This is a remote position in California, candidates need to reside in CA. LBA license strongly preferred.
Authorizes and reviews utilization of autism services, including Applied Behavioral Analysis (ABA). Collects and analyzes utilization data. Assists with shaping of ABA services and assures coordination with other services providers such as medical, speech, occupational therapy, physical th...

It's fun to work in a company where people truly BELIEVE in what they are doing!
We're committed to bringing passion and customer focus to the business.
Virtual Behavioral Health Care Manager (LCSW, LPC, LMFT, PhD)
Remote within Houston, TX
(Must be within driving distance)
We are about creating exceptional experiences for both our patients and our employees. Our goal is to provide opportunit...

It's fun to work in a company where people truly BELIEVE in what they are doing!
We're committed to bringing passion and customer focus to the business.
Bilingual Virtual Behavioral Health Care Manager (LCSW, LPC, LMFT, PhD)
Remote within Houston, TX
(Must be within driving distance)
We are about creating exceptional experiences for both our patients and our employees. Our goal is to provide ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
STATEWIDE - TX
Seeking Licensed Clinical Social Worker (LCSW) or License Professional Counselor (LPC) to provide tele...

**This position is 100% Remote.
The Care Manager plans and manages behavioral and/or physical care with members and works collaboratively with them, their supports, providers, and health care team members. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of their health care services to provide an excellent member experien...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3....

JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality ca...

Minimum Qualifications:
Master’s degree in Counseling, Psychology, or Social Work. Current licensure as a Professional Counselor, Psychological Associate, or Clinical Social Worker with five (5) years experience as a LPA, LPC or LCSW.
Preferred Qualifications:
Bilingual (Spanish speaking preferred but not required)
Job Summary:
This position is responsible for providing mental hea...

This position is responsible for the assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate and effective person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible for the development ...

This is a remote position in California, candidates must be licensed and reside in California.
This position is responsible for the assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate and effective person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorizati...