- Magellan Health Services (Bethlehem, PA)
- …directly influence quality of care . General Job Information Title Care Manager , BH - Remote in PA Grade 24 Work Experience - Required Clinical Work ... + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. Proposes… more
- Commonwealth Care Alliance (Worcester, MA)
- …and DDS ( BH ) + Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager + BH Clinical Care Manager + Medication ... 024450 Clin Alli- Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager...license, in good standing, in state of assignment. + BH Clinical Care Managers must have: +… more
- Humana (Winchester, VA)
- …barriers that hinder effective care . Through a holistic, person-centered approach, the BH Care Manager remains dedicated to enhancing behavioral health ... community and help us put health first** The Field Care Manager , Behavioral Health performs primarily face...working with high risk pregnant and post-partum population with BH needs + Field Case Management Experience + Knowledge… more
- Centene Corporation (Wichita, KS)
- …the remaining time. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs ... to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families...eg, LCSW, LMSW, LMFT, LMHC, LPC and RN with BH experience required Pay Range: $55,100.00 - $99,000.00 per… more
- Elevance Health (St. Rose, LA)
- **JR142090 BH Clinical Quality Audit Analyst Sr** Responsible for participating in on-site quality external audits such as NCQA, AAHC and EQRO, and prepares audits ... of required documents. **Location:** This position will work remote and must live in Louisiana. **How will you...as HEDIS and CPG compliance. + Conducts quality of care investigations and using criteria closes case appropriately or… more
- Elevance Health (Los Angeles, CA)
- …for autism and depression, and insightful analytics to improve the delivery of care . The ** Manager II Behavioral Health Services** will be responsible for ... ** Manager II Behavioral Health Services** **Location:** This position...staff responsible to ensure medical necessity and appropriateness of care for inpatient/outpatient BH services; ensures appropriate… more
- Molina Healthcare (Rochester, NY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Las Vegas, NV)
- …based on the severity of illness and the site of service. The Program Manager ( BH ) is responsible for overseeing internal business projects and programs related ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- CVS Health (Topeka, KS)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... do it all with heart, each and every day. **Position Summary** **Fully remote role USA.** **Standard business hours Monday-Friday. No nights and no weekends.**… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, assesses and ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work...knowledge in behavioral health. Experience in connecting members to BH services and familiarity with BH diagnosis/needs.… more