- Elevance Health (Los Angeles, CA)
- …Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of ... leaders passionate about transforming American healthcare delivery. The **Provider Quality Manager ** is responsible for leading Behavioral Health ( BH ) provider… more
- Commonwealth Care Alliance (Boston, MA)
- … responsibilities and workflows of CCA's unique Model of Care , the Clinical Informaticist coordinates with their manager to manage their projects from ... + Cultivate expert knowledge of CCA's systems used for clinical care , clinical operations, and...work or academic experience preferred + NP, PA, RN, BH specialist or Pharmacy degree or licensure strongly preferred… more
- AmeriHealth Caritas (Southfield, MI)
- …services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Behavioral Health Clinical Care Manager (CCM) is a core participant ... provider and, when appropriate, other medical providers. Coordination of care including PH- BH , referrals, follow up, authorization determinations, connection… more
- Baystate Health (Springfield, MA)
- …Experience:** + MA Licensed RN and Bachelors Degree required + 5 yrs acute care clinical nursing required, ED, Critical Care Experience strongly preferred ... accurate patient placement into the health system based on clinical relevance, with integration of care management...care and patient placement decisions. Manages and coordinates BH ED patient admission requests and Regional Transfer Center… more
- Baystate Health (Springfield, MA)
- …directors to ensure the efficient allocation and utilization of available clinical resources, including developing and managing a departmental budget. Directs, ... manages, and supervises the work of ED-based crisis staff, including clinical supervisors and administrative staff. Provides clinical consultation on cases… more
- Healthfirst (IA)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... and/or medically fragile/developmentally disabled populations + For Behavioral Health ( BH ) Care Management: + NYS RN or...BH PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child… more
- Beth Israel Lahey Health (Exeter, NH)
- …current standards of social work case management practice and reports to the Manager of Care Management **Job Description:** Essential Duties & Responsibilities ... supporting Beth Israel Lahey Health Performance Network 's (BILHPN) value-based care initiatives within risk contracts and ACO's, working collaboratively with… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …patients obtain timely and safe access to both BH and psychiatric care . Leadership Responsibilities + Clinical Leaders meeting monthly + CAD/CL meeting ... behavioral health and psychiatric medical staff who provide acute BH and psychiatric care . Due to the...providers and holds them accountable for the standard of clinical care and clinical documentation… more
- CVS Health (Chatham, VA)
- …is for candidates to hold a current unrestricted Virginia state RN, LPN, or BH licensure. Nurse Case Manager is responsible for assessing, planning, implementing ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Elevance Health (Durham, NC)
- …/counseling psychology and minimum of 5 years of experience in a Behavioral Health/ Clinical setting and managed care experience which includes experience with ... welfare system so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP), and regardless of… more
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