- Humana (Providence, RI)
- …+ Administer new innovative VBP models for range of provider types, such as behavioral health , maternity, specialists, and social determinants of health , ... part of our caring community and help us put health first** The Sr. Value-Based Programs professional ...move providers from volume to value + Analyze financial, utilization , and performance data to identify opportunities to drive… more
- Fedcap (Pawtucket, RI)
- …at Easterseals Rhode Island for a rewarding career as a Direct Support Professional - $20.00 Hourly Position Summary: Easterseals Rhode Island provides services for ... individuals with IDD who are referred through the RI Bureau of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH) and the Office of… more
- Highmark Health (Providence, RI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works directly with network providers to support key clinical transformation programs ... with a focus on utilization of appropriate care. The team member works with...or healthcare administration in a provider office, hospital and/or health systems, or healthcare consulting in provider setting. +… more
- Charter Care Health Partners (North Providence, RI)
- …Master Degree in Social Work Experience: Minimum of 5 years clinical experience in acute behavioral health . Utilization review and inpatient behavioral ... specialties on the unit. Performs functions related to Patient Advocacy; Utilization Review; Resource Management; Continuum of Care Management, Discharge planning… more
- Universal Health Services (South Attleboro, MA)
- …facility located in South Attleboro, Massachusetts providing inpatient and outpatient behavioral health services to residents of Massachusetts and Rhode ... employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access… more
- CenterWell (Providence, RI)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** **National** **Director of Transitional Care and High-Risk...will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring… more
- CenterWell (Providence, RI)
- … health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management, care management, clinical information ... directly address the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- University Medicine (East Providence, RI)
- …including medications, assessment of activities of daily living, assessment of behavioral health status including cognitive functions, life planning activities, ... to the right level of care and decrease unnecessary utilization . The nurse case manager is an active participant...including the skills to comprehensively assess patients. Familiarity with behavioral health and palliative care is necessary.… more
- State of Massachusetts (Taunton, MA)
- …IV functions as a member of a clinical team, develops incentive-based behavioral management programs, provides therapy, assessment, and psychological testing on a ... practice based on their MA Psychologist License and maintain all of the professional requirements associated. Psychologist IVs may be assigned to supervise as well… more
- CenterWell (Providence, RI)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization ...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
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