• Senior Care Options Nurse Case

    Fallon Health (Milford, MA)
    …approves their care plan o Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric ... Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part...manage his or her health needs, social needs or behavioral health needs o Collaborates with appropriate team members… more
    Fallon Health (05/16/25)
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  • Case Manager - DD Services

    Child & Family Services of RI (Middletown, RI)
    case management services to participants who are part of the Conflict Free Case Management Model. The Case Manager provides in-home visits, monthly ... plan development, personalized services budgeting, oversite, referrals, and monitoring. The case manager assists with care coordination to ensure the… more
    Child & Family Services of RI (05/22/25)
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  • Complex Case Manager RN - Pediatrics…

    Highmark Health (Providence, RI)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
    Highmark Health (05/15/25)
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  • Case Manager RN

    Prime Healthcare (Woonsocket, RI)
    …accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. ... At least one year experience in case management, discharge planning or nursing management, preferred. +...and knowledge in basic to intermediate computer skills. + Behavioral Violence Prevention Training within 3 months of hires… more
    Prime Healthcare (05/13/25)
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  • Youth Clinical Team Manager - CBHC

    Riverside Community Care (Milford, MA)
    …of LMHC or LICSW required* Riverside is seeking a passionate youth clinical team manager to join our Community Behavioral Health Center (CBHC) team in Milford! ... This is a unique opportunity to join a growing team of dedicated behavioral health professionals! The Child/Youth Clinical Team Manager (CTM) oversees all care… more
    Riverside Community Care (05/17/25)
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  • Care Manager RN - Remote

    Highmark Health (Providence, RI)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (05/21/25)
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  • Manager Business Platform - HNAS

    Highmark Health (Providence, RI)
    …entities within Highmark or its strategic business partners. When this is the case , there may be less direct reporting relationships and more matrix relationships ... managing programs and leading the teams) or people-leader experience ( Manager , Supervisor or Team Lead) + 5 years of...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (04/29/25)
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  • Product Manager - Billing

    Highmark Health (Providence, RI)
    …:** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class billing ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… more
    Highmark Health (03/20/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Providence, RI)
    …the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers ... **_Compliance Requirement:_** _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and… more
    Highmark Health (03/06/25)
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  • Lead Clinician (LCSW, LPC, LMFT, LADC)…

    Hartford HealthCare (Danielson, CT)
    …May assume clinical oversight of daily operations in the absence of Program Manager . Key responsibilities of Lead Behavioral Health Clinician: * Conducts a ... We offers a variety of programs including inpatient and outpatient behavioral health, residential treatment for court-involved teenage girls, geriatric services,… more
    Hartford HealthCare (05/23/25)
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