- Commonwealth Care Alliance (Boston, MA)
- …assessment, and education in the ED or inpatient units. - Participates in and lead ongoing behavioral health and substance groups at the Engagement Center - ... Clin Alli-Hospital to Home Position Summary: The Sr Clinician, Behavioral Health, Hospital to Home provides behavioral ...with the treatment plan, and works collaboratively with the clinical team, ED, and inpatient staff to manage or… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The Senior Director of Inpatient Behavioral Health provides strategic and operational leadership for pediatric behavioral health services, including ... healing and resilience. They are responsible for regulatory compliance, clinical excellence, staff development, and the integration of evidence-based practices… more
- Commonwealth Care Alliance (Boston, MA)
- …ensuring strong, collaborative partnerships with hospitals, physician groups, LTSS, HCBS, behavioral health, and ancillary providers. - Serve as the primary point ... complex issues with a focus on long-term satisfaction and retention. - Lead ongoing communication efforts, working closely with Provider Communications Manager, to… more
- Commonwealth Care Alliance (Boston, MA)
- …Alliance's (CCA) diverse provider community - including physician, hospital, behavioral health, community-based, LTSS, and HCBS providers. This individual serves ... Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation presentations, and ongoing… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …the discipline's scope of practice **(Required)** :- For nurses, required registration (eg RN , ARNP).- For behavioral health, required licensure (eg LMFT, LICSW, ... Case Managers. This position is responsible for the execution and implementation of Clinical Programs' strategy and goals and the oversight of Clinical Programs'… more
- Commonwealth Care Alliance (Boston, MA)
- …program development/management/evaluation and quality improvement. - Minimum five (5) years of clinical experience in medical or behavioral health care delivery ... the development of a high quality team.collaboration with the broader clinical organization. - Ensures that utilization management processes are integrated with… more
- Commonwealth Care Alliance (Boston, MA)
- …Experience working within community-based health and/or health plan organization to lead Network projects, clinical implementation, and/or population health ... Contracting department and will have regular interaction with relevant internal Clinical , Quality, and BI departments, while frequently interfacing with Providers… more
- Commonwealth Care Alliance (Boston, MA)
- …the performance of CCA's delegated partnerships programs, working with clinical community partners responsible for care management and utilization management ... Care and SCO products. This role focuses on fostering strong clinical and programmatic collaboration, effectively communicating program performance to delegated… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …State or Compact License in one of the following: + Nursing: Current registration as a nurse (eg, RN , ARNP) + Behavioral Health: Valid licensure (eg, LMFT, ... . **Case Managers** are a dedicated team of clinicians (RNs and behavioral health professionals) who utilize a holistic model that enables our members… more
- Commonwealth Care Alliance (Boston, MA)
- …of care and strategic objectives. The Manager fosters effective clinical and programmatic collaboration with provider partners, communicates performance expectations ... engagement of CCA's LTSS network, including ASAP and LTSC agencies. + Lead the monitoring and analysis of provider performance using utilization, quality, and… more
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