- Highmark Health (Annapolis, MD)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
- Elevance Health (Hanover, MD)
- ** Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Lo_ _cation: This is a field position expected to be in clinic 60% of the ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee… more
- Elevance Health (Hanover, MD)
- **Carelon Payment Integrity Manager - Behavioral Health** **Supports Payment Integrity & Behavioral Health** _Location: This position will work a hybrid ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee… more
- CenterWell (Annapolis, MD)
- …and procedures to support program implementation. + Establish collaborative relationships with clinical teams and care integration leadership to align on program ... develop and implement metrics to measure the effectiveness of care transitions. + Understanding of clinical operations...health care organization. + Knowledge of health care regulations and policies related to behavioral … more
- One Common Unity (Washington, DC)
- …the program. Reporting: This position reports to the Director of Community Based Behavioral Health and or the Community-Based Program Manager . Pay & Benefits: ... and Justice Grants (https://ovsjg.dc.gov/), we are looking for dynamic Credentialed Behavioral Health Clinicians who have experience with, and a passion for,… more
- Johns Hopkins University (Lutherville, MD)
- …obtained by MOC or Prior Authorization Team. + Assists with in person clinical care (eg, medication administration, rooming of patients, chaperoning) when ... position works closely with the Medical Director and Clinic Manager to maintain high-quality care with an...for a group of primary complex patients to achieve clinical and organizational outcomes. + Provides evidence-based care… more
- AmeriHealth Caritas (Washington, DC)
- …for a $4,000.00 sign on bonus.;** **Responsibilities:** The Care Manager II (Registered Nurse/Licensed Independent Clinical Social Worker) assists members ... management services in achieving their optimal level of health through self-management.; The Care Manager II (RN/LICSW) is responsible for engaging the member,… more
- Highmark Health (Annapolis, MD)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specific state licensure(s) may be required depending on where clinical care is being provided. **Preferred** +...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Molina Healthcare (Arlington, VA)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and must be licensed...management. + Promotes integration of services for members including behavioral health care and long term services… more
- Court Services and Offender Supervision Agency for DC… (Washington, DC)
- Summary This position is located in the Office of Behavioral Interventions (OBI) within CSOSA. OBI oversees a complex array of evidence-based assessments, ... positive change throughout the offender's supervision lifecycle and continuum of care . Responsibilities Supervisory Role: Manages the assigned Unit in the Re-Entry… more
- Highmark Health (Annapolis, MD)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- CVS Health (Arlington, VA)
- …licensure required -3+ years clinical experience as a Registered Nurse (ie med surg, behavioral health, acute care ) -Must be willing and able to travel up to ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- AmeriHealth Caritas (Washington, DC)
- …$5,500.00 sign on bonus.** **Responsibilities:** Under the supervision of the Market Clinical Director, Population Health, the Manager of Integrated Case ... Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care ,… more
- Elevance Health (Washington, DC)
- …+ Manages behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions. + Assists members to ... Social Work Case Manager (licensed clinician) JR130923 **Location** : Must reside...in support of case decisions. + Facilitates and coordinates behavioral health resources as individual member needs are identified.… more
- Maxim Healthcare Services (Columbia, MD)
- …offer private duty nursing, skilled nursing, physical rehabilitation, companion care , respite care and behavioral care for individuals with chronic and ... Healthcare Services is hiring for an Area Business Development Manager This position will encompass the forging of new...position in the market place + Collaborates with the Clinical and Operational team to have understanding of customers… more
- CareerStaff Unlimited (Silver Spring, MD)
- Registered Nurse - RN - Unit Manager Invest in your future by discovering a facility in Maine with resources, technology, and opportunities that will positively ... healthcare career. Registered Nurses are valued members of the care team that are focused on helping patients with...and 401(k) * Guaranteed Weekly Direct Deposit * 24/7 Clinical Services Team & Unparalleled Support * Bonus Programs… more
- The Cigna Group (Washington, DC)
- …or McLean, Virginia or Washington, DC or the Baltimore, MD area.** This ** Manager , Hospital Contracting** serves as an integral member of the Provider Contracting ... Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and management of the day to day contracting and… more
- AmeriHealth Caritas (Washington, DC)
- …about us at www.amerihealthcaritas.com . **Responsibilities:** Under the supervision of the Manager , Integrated Care Management (ICM), the Supervisor, ICM is ... responsible for the daily oversight of the Complex Care Managers; by providing clinical direction, organization, and monitoring of all care management… more
- Elevance Health (Hanover, MD)
- … clinical consultation and serve as clinical /strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a ... changes in healthcare. + Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality cost and outcomes. +… more
- Magellan Health Services (Odenton, MD)
- …- Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt License and Certifications - Preferred Salary ... of providing the full breadth of Child and Youth Behavioral (CYB) counseling services to children of all ages...by the Office of Secretary of Defense (OSD) program manager . The CYB will flex schedule to respond to… more