- Commonwealth Care Alliance (Springfield, MA)
- …gap closures, including: + RN Clinical Care Manager + BH Clinical Care Manager + Medication Reconciliation + Follow up after Hospitalization (FUH) ... in nursing + Active RN license, in good standing, in state of assignment. + BH Clinical Care Managers must have: + Master's degree in social work or mental… more
- Elevance Health (Woodbridge, NJ)
- …in a behavioral health related field and a minimum of 3 years behavioral health clinical and managed care or clinical quality improvement experience; or any ... ** Clinical Quality Management Analyst Sr. Behavioral Health** **Location:**...adequacy. Implementation of processes designed to improve access to care for special needs populations including, but not limited… more
- Humana (Winchester, VA)
- …that hinder effective care . Through a holistic, person-centered approach, the BH Care Manager remains dedicated to enhancing behavioral health outcomes, ... community and help us put health first** The Field Care Manager, Behavioral Health performs primarily face to face...provisional licenses)** + Minimum of 2 years of post-degree clinical experience in behavioral health setting + Case management… more
- Centene Corporation (Wichita, KS)
- …status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based ... the remaining time. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
- Idaho Division of Human Resources (ID)
- Clinician - BH Posting Begin Date: 2025/01/14 Posting End Date: 2025/06/03 Category: Human Services Sub Category: Mental Health Work Type: Full Time Remote: Flexible ... Hybrid Location: Multiple Locations, ID, United States Minimum Salary:...community providers, hospitals, law enforcement, and the courts. The Clinical Services Bureau works to transform Idaho's behavioral health… more
- Elevance Health (KS)
- …Hugoton, Great Bend, Marysville, Junction City, Manhattan, are encouraged to apply.** The BH Case Manager I - Western Kansas is responsible for performing case ... but are not limited to: + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. + Conducts assessments to identify individual… more
- East Boston Neighborhood Health Center (MA)
- …with a high degree of integrity and efficiency. 17.Specific to NeighborHealth South End BH , coordinates BH system of care design in collaboration with ... procedures. 20.Participates in required departmental activities and meetings. Collaborate with clinical teams to integrate services and improve care … more
- Centene Corporation (Tallahassee, FL)
- …and efficiency standards + Works with BH utilization management team to resolve complex BH care member issues related to BH + Maintains knowledge of ... home.** **Must Reside in Florida.** **Position Purpose:** Supervises the behavioral health ( BH ) utilization review clinicians to ensure appropriate care for… more
- Elevance Health (Los Angeles, CA)
- … support staff responsible to ensure medical necessity and appropriateness of care for inpatient/outpatient BH services; ensures appropriate utilization of ... BH services through level of care determination, accurate interpretation/application of benefits, corporate medical policy...and works to ensure quality outcomes and cost effective care ; assists in developing clinical guidelines and… more
- AmeriHealth Caritas (Harrisburg, PA)
- …information, visit www.performcare.org and https://pa.performcare.org/ The **PerformCare** -PA Behavioral Health Clinical Care Manager ( BH -CCM) is a core ... Managed Care Organization (MCO) and medical Providers when applicable. The BH -CCM approves care coordination, utilization management, and some types of case… more