- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- CVS Health (Providence, RI)
- …network management and clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with ... This person will oversee and be responsible for all behavioral health activities in the health..., physical health , and social determinants of health . The medical director will… more
- CVS Health (Providence, RI)
- …care resources. **This is a remote based (work from home) role.** In this role has Medical Director ( Behavioral Health ) you will: * Provide comprehensive ... behavioral health care management to facilitate delivery of appropriate quality...management team, including the management of high-risk cases and medical necessity decisions * Participate in the development, implementation,… more
- Highmark Health (Providence, RI)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Highmark Health (Providence, RI)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Elevance Health (Smithfield, RI)
- …partnering with other leaders across Carelon services relating to pharmacies like behavioral health and palliative care, to foster future client partnerships. ... **Anticipated End Date:** 2024-09-23 **Position Title:** Pharmacy Account Director , Medicare **Job Description:** A proud member of the Elevance Health family of… more
- CenterWell (Providence, RI)
- …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding… more
- Highmark Health (Providence, RI)
- …conceptualize and design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Providence, RI)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- Wellpath (Bridgewater, MA)
- …a dynamic clinical thought leader with a passion for leading and developing high-quality behavioral health programs? We are seeking a dedicated and experienced ... **Perks and Benefits** In addition to comprehensive benefits including medical , dental, vision, paid time off, and 401k, we...and make a significant impact on the delivery of behavioral health services in our hospital. Joint… more
- Marriott (Providence, RI)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... **JOB SUMMARY** Marriott has an exciting opportunity for a Director on the Corporate Systems team within the Finance...a course of action. + Professional Demeanor - Exhibits behavioral styles that convey confidence and command respect from… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on ... of manual processes using AI and RPA (Robotics Process Automation) ** Behavioral Competencies:** * Exceptional leadership skills, marked by poise, positive influence,… more
- Marriott (Providence, RI)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... internal and external user expectations and operations. The Senior Director collaborates with cross-functional teams both within Marriott's Global Technology… more
- Charter Care Health Partners (North Providence, RI)
- Summary: Under the direction of the System Director of Outpatient and Integrated Behavioral Health , ED Behavioral Health Social Workers will function ... as clinical Behavioral Health Social Workers in the Emergency Department and will... medical necessity criteria and ASAM criteria. The Behavioral Health Social Worker will have the… more
- Magellan Health Services (Newport, RI)
- …child daycare centers and schools, and consultation to installation command regarding behavioral health issues affecting military personnel and their family ... - Required Clinical Work Experience - Preferred Education - Required Master's - Behavioral Health , Master's - Social Work Education - Preferred License and… more
- Evolent Health (Providence, RI)
- …as required. + Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted ... also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our... reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs,… more
- State of Massachusetts (Taunton, MA)
- …intervention and planning. * Responsible for ensuring the access and coordination of behavioral health services for youth residing in the community and assigned ... linkage with Mass Health Payers and Network Providers ensuring access to behavioral health services within the Southeast Region. * Provide annual reports to… more
- CVS Health (Woonsocket, RI)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in...touch and work with many teams, including Analytics & Behavioral Change, Retail Analytics, Business Intelligence in Marketing, Promo,… more
- Sharecare, Inc. (Providence, RI)
- …one or more of the following areas: NICU, Oncology, Transplant, Maternity, and/or Behavioral Health . + Training in motivational interviewing preferred. + Strong ... **Job Description:** Sharecare is the leading digital health company that helps people - no matter...providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for education or… more
- State of Massachusetts (Taunton, MA)
- …the skills necessary to thrive to apply for this role. **Job:** ** Medical Services* **Organization:** **Department of Mental Health * **Title:** *Psychologist IV ... IV functions as a member of a clinical team, develops incentive-based behavioral management programs, provides therapy, assessment, and psychological testing on a… more