- CVS Health (Jackson, MS)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... manage dispute resolution and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market. You will manage… more
- CVS Health (Jackson, MS)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct...of contracts, with large and complex, national, and market-based, behavioral health groups and facility providers. You… more
- CVS Health (Jackson, MS)
- …And we do it all with heart, each and every day. **Position Summary** The Sr Manager , Behavioral Health Partner Innovation Strategy will report to strategy & ... consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions… more
- Community Health Systems (Jackson, MS)
- …accounts + Life and disability insurance and more **Job Summary** Assisting the Behavioral Health (BH) Director in planning, supervising and evaluating the ... nursing care of psychiatric patients. Observe professional ethics in maintaining...adaptable to meet clients needs. + Strong understanding of health and wellness principles + Knowledge of medical and… more
- Molina Healthcare (Hattiesburg, MS)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... + 1-3 years in case management, disease management, managed care or medical or behavioral health...+ Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health Education… more
- CVS Health (Jackson, MS)
- …medical conditions, and/or behavioral health + Experience conducting health -related assessments and facilitating the care planning processes + Bilingual ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager… more
- Highmark Health (Jackson, MS)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- Healthfirst (MS)
- …serving systems, including child welfare and/or medically fragile/developmentally disabled populations + For Behavioral Health (BH) Care Management: + NYS RN ... adequately addressed. + Coordinates and facilitates with the multi-disciplinary health care team as necessary to ensure...state) + 3 years of work experience in a mental/ behavioral health or addictions setting + For… more
- Highmark Health (Jackson, MS)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Jackson, MS)
- …or provider) and familiarity with key domains like CMS interoperability, Quality management, care & utilization management, and digital health + 3 years' ... support enGen's growing business, we're hiring a Sales Alliance Manager that will be responsible for supporting technology and...from lead to closure) + 3 years' experience in Health Plan Technology + 3 years' experience with solid… more