- CVS Health (Columbus, OH)
- …we do it all with heart, each and every day. Job Summary: The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH)… more
- The Cigna Group (Bloomfield, CT)
- **Job Profile Summary:** The Business Analytics Sr. Manager oversees a team of analytics professionals focused on clinical quality measurement and insights. Works in ... outcomes through data-driven clinical initiatives. The Business Analytics Senior Manager is responsible for managing complex projects, transforming traditional… more
- The Cigna Group (Bloomfield, CT)
- …Care Management, and Health / Wellness programs (eg, utilization management, case management, demand management, medical review, care plans, health care coaching, ... several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating ... strong, collaborative relationships with behavioral health providers and driving performance improvement through data...coordinated care for members. In this role, the Program Manager acts as an account manager , relationship… more
- Molina Healthcare (Salt Lake City, UT)
- …suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Case Manager (CCM). * Experience in behavioral health care management. ... Licensed Social Worker Case Manager residing in the state of UT, will work in remote setting supporting our Medicaid SMI (Severe Mental Illness) & Substance… more
- Highmark Health (Harrisburg, PA)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Molina Healthcare (Spokane, WA)
- …**Preferred Qualifications** * Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). * Hospital discharge planning or home ... We are seeking a candidate with a WA RN licensure and previous Case Management experience. The candidate should have proficient knowledge of MS Suite, organized… more
- Molina Healthcare (MI)
- …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... This position will offer remote work flexibility, but the hired candidate must...all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS),… more
- Molina Healthcare (MA)
- …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...Provides telephone, clerical, and data entry support for the Case Management team. + Responsible for initial review of… more
- State of Colorado (Colorado Springs, CO)
- …(Health Professional VI) - Therapeutic Community Program Manager (Hybrid) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5154145) Apply CDOC ... (Health Professional VI) - Therapeutic Community Program Manager (Hybrid) Salary $7,971.00 - $11,159.00 Monthly Location Colorado...is eligible for a hybrid workplace which is partly remote (work from home or travel to other facilities)… more