- Humana (Dover, DE)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- Elevance Health (Wilmington, DE)
- …deliver an improvement in the health of the people we serve. The medical director supports product strategy/design through medical management that impact ... health improvement tools offered to clients/ members. The medical director provides clinical expertise in all...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Highmark Health (Dover, DE)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Highmark Health (Dover, DE)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians ... three primary Workstreams: leadership over the execution of the Population Health Performance strategy roadmap, support physician executives to identify ownership,… more
- Highmark Health (Dover, DE)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- Magellan Health Services (Dover AFB, DE)
- …personnel at child development centers, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB counselors ... - Required Clinical Work Experience - Preferred Education - Required Master's - Behavioral Health Education - Preferred License and Certifications - Required… more
- Evolent (Dover, DE)
- …as required. + Entering data into a proprietary system generating cases for both the medical and behavioral health reviewers. These requests may be submitted ... also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our... reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs,… more
- Kelly Services (Newark, DE)
- …a 1099 Independent contracting position, allowing for greater flexibility.? + Access to our Behavioral Health Director for overall clinical support + We ... experience working with children or adolescents with developmental disabilities and/or mental health disorders in a school-based setting + Master's in ABA or related… more
- CenterWell (Dover, DE)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... **Become a part of our caring community and help us put health first** The Clinical Pharmacy Technician 4 assists the interdisciplinary CIT team with… more
- AmeriHealth Caritas (Newark, DE)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... for decision making or example, internal committee/panel, independent review organization, internal medical director - as process dictates + Provide support… more
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