Behavioral Health Utilization Management Specialist

1 month ago


Indianapolis, United States Professional Management Enterprises Full time
Job DescriptionJob DescriptionDescription:

Ideal candidate will have Behavioral Health experience in a health care setting and or Utilization Review/ Case Management. This is a full-time position Sunday-Thursday 8am-5pm. The pay for the role is $78,000/yr. This position is primarily provider facing.


· 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

· Optimize member health benefits and to promote effective use of health benefits and community resources.

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.

o or any combination of education and experience which would provide an equivalent background.

· Current active unrestricted license, such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist 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. However, for states that do not require licensure a Board-Certified Behavioral Analyst (BCBA) is also acceptable if all the following criteria are met:

o performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision.

Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.



  • Indianapolis, Indiana, United States Professional Management Enterprises Full time

    Job DescriptionIdeal candidate will have experience in Behavioral Health within a health care setting or Utilization Review Case Management. This is a full-time position from Sunday to Thursday, 8am to 5pm. The annual pay for this role is $80,000. The primary focus of this position is working with providers.Uses effective screening criteria, clinical...


  • Indianapolis, United States Professional Management Enterprises Full time

    Job DescriptionJob DescriptionDescription:Ideal candidate will have Behavioral Health experience in a health care setting and or Utilization Review Case Management. This is a full-time position Sunday-Thursday 8am-5pm. The pay for the role is $80,000/yr. This position is primarily provider facing.· Uses appropriate screening criteria knowledge and clinical...


  • Indianapolis, United States Professional Management Enterprises Full time

    Job DescriptionJob DescriptionDescription:Ideal candidate will have Behavioral Health experience in a health care setting and or Utilization Review Case Management. This is a full-time position Sunday-Thursday 8am-5pm. The pay for the role is $80,000/yr. This position is primarily provider facing.· Uses appropriate screening criteria knowledge and clinical...

  • Behavioral Specialist

    4 weeks ago


    Indianapolis, United States Intrinsic Motivational Behavioral S Full time

    Job DescriptionJob DescriptionIntrinsic Motivational Behavioral Services is looking for a part-time energetic, motivated Behavioral Specialist to join a winning team!  Job Duties and Responsibilities: Please be able to work some daytime hours for team meetings.   Observing and assessing individuals' behaviorDeveloping and implementing treatment plans...

  • Behavioral Specialist

    3 weeks ago


    Indianapolis, United States Intrinsic Motivational Behavioral S Full time

    Job DescriptionJob DescriptionIntrinsic Motivational Behavioral Services is looking for a part-time energetic, motivated Behavioral Specialist to join a winning team!  Job Duties and Responsibilities: Please be able to work some daytime hours for team meetings.   Observing and assessing individuals' behaviorDeveloping and implementing treatment plans...


  • Indianapolis, United States Elevance Health Full time

    Anticipated End Date: 2024-06-28 Position Title: Behavioral Health Care Manager II Job Description: A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support,...


  • Indianapolis, United States Community Health Network Full time

    Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and...


  • Indianapolis, United States Eskenazi Health Full time

    **Division**:Eskenazi Health **Sub-Division**: SEMHC **Req ID**: 19548 **Schedule**: Full Time **Shift**: Days Sandra Eskenazi Mental Health Center, Indiana's first community mental health center, provides comprehensive care for emotional and behavioral problems, including severe mental illness and substance abuse. The Sandra Eskenazi Mental Health...


  • Indianapolis, United States Elevance Health Full time

    Anticipated End Date: 2024-07-08 Position Title: Behavioral Health Provider Quality Manager Job Description: Location: The ideal candidate must live within 50 miles of the Indianapolis, IN Elevance Health Pulse Point location. Shift: Monday - Friday; 8am - 5pm The Behavioral Health Provider Quality Manager is responsible for leading Behavioral Health (BH)...


  • Indianapolis, United States Oak Street Health Inc. Full time

    Company: Oak Street Health Title: Clinical Licensed Therapist (LCSW) - Behavioral Health Specialist Role Description: The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care management services and to provide evidence-based short-term psychotherapy to our patients with behavioral health needs. The Behavioral Health Specialist...


  • Indianapolis, United States Oak Street Health Inc. Full time

    Company: Oak Street Health Title: Clinical Licensed Therapist (LCSW) - Behavioral Health Specialist Role Description: The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care management services and to provide evidence-based short-term psychotherapy to our patients with behavioral health needs. The Behavioral Health Specialist...


  • Indianapolis, Indiana, United States Virginia Dept of Behavioral Health & Developmental Services Full time

    Job DescriptionVirginia Dept of Behavioral Health & Developmental Services is seeking a Behavioral Health Technician for a job in Marion, Virginia, Virginia.Job Description & RequirementsSpecialty: Behavioral Health TechnicianDiscipline: Allied Health ProfessionalStart Date: ASAPDuration: Ongoing40 hours per weekShift: 8 hoursEmployment Type: StaffTitle:...


  • Indianapolis, Indiana, United States OhioGuidestone Full time

    Where New Paths BeginRecovery is possible with OhioGuidestone. A leader in the field of behavioral health with a history dating back to 1864, we address the needs of the whole person, helping them reset their paths, reclaim their autonomy and restore their purpose. OhioGuidestone connects individuals with the resources needed to achieve lifelong success,...


  • Indianapolis, United States Professional Management Enterprises Full time

    Job DescriptionJob DescriptionDescription:Overview:We are seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our team as a Behavioral Health Case Manager. In this role, you will provide comprehensive case management services to individuals with behavioral health needs, helping them access and navigate appropriate resources...


  • Indianapolis, United States Refresh Mental Health Full time

    Behavioral Health Provider We don't just have a mission statementwe have a mission. At Life Solutions Counseling, our commitment to optimal mental health and steadfast support isn't just for our clients; it extends to every team member. Life Solutions Counseling is a strength-based group counseling practice whose mission is to help people reach their full...


  • Indianapolis, United States Raphael Health Center Inc Full time

    Job DescriptionJob DescriptionDescription:POSITION SUMMARY A Behavioral Health Consultant (BHC) is responsible for providing behavioral healthcare services to include, but are not limited to assessment, diagnosis, psychological intervention, referral, case management, consultation for individuals experiencing mental health and/or substance use disorders....


  • Indianapolis, United States Raphael Health Center Inc Full time

    Job DescriptionJob DescriptionDescription:POSITION SUMMARY A Behavioral Health Consultant (BHC) is responsible for providing behavioral healthcare services to include, but are not limited to assessment, diagnosis, psychological intervention, referral, case management, consultation for individuals experiencing mental health and/or substance use disorders....


  • Indianapolis, United States Elevance Health, Inc. Full time

    Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment. Monitors and evaluat Behavioral Health, Case Manager, Behavioral, Manager, Health, Substance Abuse, Healthcare


  • Indianapolis, United States Elevance Health Full time

    Job Description Summary: Responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) Maternity Alcohol / Drug Autism...


  • Indianapolis, United States Elevance Health Full time

    Job Description : Behavioral Health Case Manager II Location: This position is a remote/virtual role. Candidates must live within 50 miles of an Elevance Health location. Hours: Monday through Friday, 10:00am- 6:30pm. Build the Possibilities. Make an extraordinary impact. Responsible for performing case management telephonically within...