- Commonwealth Care Alliance (Boston, 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 (Rocky Hill, CT)
- …CT and may be required to work in office 1-2x a week.** The **Manager of BH Clinical Quality - CT CCBHC** is responsible for managing the day-to-day activities ... of one or more behavioral health ( BH ) clinical quality program components, which may...Provides oversight in the planning, implementation and coordination of BH health care audits to ensure high-quality,… more
- Centene Corporation (Jefferson City, MO)
- …status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based ... license is required. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
- BayCare Health System (Spring Hill, FL)
- …Occasional **On Call:** No How often will this team member be working remotely? Hybrid **Responsibilities - Case Manager - BH :** + Provide linkage, monitoring, ... Bachelors - Psychology** _Equal Opportunity Employer Veterans/Disabled_ **Position** Case Manager - BH **Location** Spring Hill | Clinical | Full Time **Req… more
- Elevance Health (Chicago, IL)
- …Elevance Health family of companies, Carelon Behavioral Health, offers superior clinical mental health and substance use disorder management, a comprehensive ... for autism and depression, and insightful analytics to improve the delivery of care . **Field Behavioral Health Case Mgr II - Illinois** Candidate must live AND… more
- Idaho Division of Human Resources (Twin Falls, ID)
- Clinician - BH Posting Begin Date: 2025/01/31 Posting End Date: 2025/03/02 Category: Human Services Sub Category: Mental Health Work Type: Full Time Remote: Flexible ... Hybrid Location: Twin Falls, ID, United States Minimum Salary:...courts. This position will allow you to obtain high clinical proficiency and gain free supervision towards your … more
- Elevance Health (KS)
- …Manhattan, and all other cities within Kansas are encouraged to apply.** The BH Case Manager I - Kansas is responsible for performing case management telephonically ... but are not limited to: + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. + Conducts assessments to identify individual… more
- Centene Corporation (Topeka, KS)
- …workplace flexibility. **This position will be working with a focus in Foster Care -experience in this area is preferred.** **This position requires 50% field based ... Scott, Lane, Ness, Rush **Position Purpose:** Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective… more
- Elevance Health (Overland Park, KS)
- **Behavioral Health Outreach Care Specialist** **Location :** This is a **field-based** role where the majority of time is working out in the field/community. ... companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive… more
- Beth Israel Lahey Health (Wakefield, MA)
- …a job, you're making a difference in people's lives.** **Job Description:** + ** Hybrid / Remote position** + **Day 1 Benefits** Beth Israel Lahey Health Performance ... ACO (BILHPN-ACO) is responsible for improving coordination of patient care , reducing unnecessary hospitalizations and readmissions, emergency department visits and… more
- AmeriHealth Caritas (Southfield, MI)
- …and other administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The BH Clinical Care Manager (CCM) is a core ... provider and, when appropriate, other medical providers. Coordination of care including PH- BH , referrals, follow up, authorization determinations, connection… more
- Beth Israel Lahey Health (Wakefield, MA)
- …ACO (BILHPN-ACO) is responsible for improving coordination of patient care , reducing unnecessary hospitalizations and readmissions, emergency department visits and ... revisits, and reducing total cost of care over time. BILHPN-ACO will provide services in collaboration... Management, Medicare Shared Savings Program-ACO. **Job Description:** + ** Hybrid / Remote position** + **Day 1 Benefits** **Essential… more
- VNS Health (Manhattan, NY)
- …organization's strategic vision and effectively meet our members' needs. + Leads the BH clinical operations team with a strategic and growth-oriented mindset, ... care to members with behavioral health and social care needs staying current with the latest clinical...organization (BHO), with minimum of 4 years in a BH utilization and care management Director or… more
- Humana (Columbus, OH)
- …separate roles_** : The ** BH CM** must perform the full scope of care coordination activities and responsibilities for members who need care coordination and ... Management Entity, or who choose to receive their care management from the MCO. The BH ...field of study with no disciplinary action: Licensed Masters Clinical Social Worker (LCSW), Clinical Social Worker… more
- Cornell Scott Hill Health Corporation (West Haven, CT)
- …CT (Adult BH ) Essential Duties and Responsibilities: + Provides professional clinical services to individual clients, groups of clients, and/or families in the ... Title: Clinician Departments: Adult BH , Child & Family Guidance, South Central Rehab...client. Direct services may include assessment and diagnosis, urgent care , individual, group and/or family therapy. The Clinician is… more
- Elevance Health (Middletown, NY)
- …+ Oversees the clinical quality improvement activities/projects to implement appropriate clinical interventions to improve the quality of care for members. + ... Program Administrator** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will...Requires a BS in health administration, nursing or related clinical field; 3 years of health care … more
- Centene Corporation (Tallahassee, FL)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... Purpose:** Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams. Assesses and… more
- Banner Health (Phoenix, AZ)
- …the delivery of clinical risk management and patient relations at all BH facilities. CORE FUNCTIONS 1. Provides leadership and direction to ensure cost effective ... to Banner Health's teams responsible for claims and litigation management, clinical risk management, and patient relations. Great opportunity to collaboratively and… more
- AmeriHealth Caritas (Charleston, SC)
- …approved and recognize care coordination opportunities and refer those cases to integrated care management as needed. ; The BH UM Reviewer will apply medical ... Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care ,… more
- Elevance Health (Cerritos, CA)
- …**How will you make an impact:** + Establishes relationships and engages with BH providers and ensures measurable improvements in clinical and quality outcomes ... **JR140223 Provider Quality Manager** Responsible for leading Behavioral Health ( BH ) provider engagement, with a focus on leveraging the...for members. + Builds relationships with internal clinical and quality departments to ensure high-quality … more