- Elevance Health (Greensboro, NC)
- …ensuring fidelity to the CFSP Care Management model which includes physical health , behavioral health , and social services. Primary duties may include, ... access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy,_ _Intellectual/Developmental_ _Disabilities (I/DD)… more
- Ventura County (Ventura, CA)
- …policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as a ... 24 primary care clinics, 11 specialty care clinics, Ambulatory Care, the Public Health Department, the Behavioral Health Department, and the Ventura… more
- WellSpan Health (Lebanon, PA)
- …data analysis as required. + Develops and initiates educational programs regarding utilization management principles. + Attends meetings as required, and ... providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland.… more
- Devereux Advanced Behavioral Health (Kennesaw, GA)
- …This person will lead marketing initiatives and oversee the admissions and utilization management team for our residential treatment program for individuals ... drive referrals. Additionally, the Director will supervise the admissions and utilization management department, ensuring a seamless and compassionate process… more
- University of Utah Health (Salt Lake City, UT)
- …+ Assessment + De-escalation/resolution + Peer support + Coordination with medical and behavioral health services: and + Crisis Response planning and follow-up. ... Utah Crisis Line (988) dispatchers and/or 911 dispatchers for in-person, crisis and behavioral health emergency situations. Expected response time is arriving on… more
- AmeriHealth Caritas (Washington, DC)
- …products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more ... **Responsibilities:** Responsible for managing the day-to-day activities of the Health DC Plan Network Management department and staff. Responsible for assisting… more
- WellSpan Health (York, PA)
- …data analysis as required. + Develops and initiates educational programs regarding utilization management principles. + Attends meetings as required, and ... providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland.… more
- WellSpan Health (Gettysburg, PA)
- …data analysis as required. + Develops and initiates educational programs regarding utilization management principles. + Attends meetings as required, and ... providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland.… more
- CVS Health (Richmond, VA)
- …other key personnel + Updating the Care Plan for any change in condition or behavioral health status Our TOC Coaches are frontline advocates for members who ... medications. + Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department ...Qualifications** + Certified Case Manager + 3+ years Care Management , Discharge Planning and/or Home Health Care… more
- CVS Health (Springfield, IL)
- … health care innovators. The Engagement Outreach Hub Care Management Associate supports comprehensive coordination of healthcare services through telephonic ... At CVS Health , we're building a world of health...each and every day. **Position Summary** Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused… more