- Highmark Health (Dover, DE)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Evolent (Dover, DE)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- Humana (Dover, DE)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… more
- Highmark Health (Dover, DE)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs. + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
- Centene Corporation (Dover, DE)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- Highmark Health (Dover, DE)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- CVS Health (Millville, NJ)
- …judgment and critical thinking skills to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager will ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for… more
- Highmark Health (Dover, DE)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Dover, DE)
- …complex medical and/or psychosocial needs have access to high quality, cost-effective health care . Assists in the holistic assessment, planning, arranging, ... understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Dover, DE)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- PSEG (Salem, NJ)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer a retirement program, 401(k) ... of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll...500 company, as well as the attention, camaraderie and care for one another you might typically associate with… more
- J&J Family of Companies (Dover, DE)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
- PSEG (Salem County, NJ)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer a retirement program, 401(k) ... of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll...500 company, as well as the attention, camaraderie and care for one another you might typically associate with… more
- PSEG (Salem County, NJ)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer a retirement program, 401(k) ... of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll...500 company, as well as the attention, camaraderie and care for one another you might typically associate with… more
- PSEG (Salem County, NJ)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer a retirement program, 401(k) ... of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll...500 company, as well as the attention, camaraderie and care for one another you might typically associate with… more
- PSEG (Salem County, NJ)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer a retirement program, 401(k) ... of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll...500 company, as well as the attention, camaraderie and care for one another you might typically associate with… more
- Sharecare (Dover, DE)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
- Magellan Health Services (Dover AFB, DE)
- …DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt License and Certifications - Preferred ... child development centers, and consultation to installation command regarding behavioral health issues affecting children and youth....by the Office of Secretary of Defense (OSD) program manager . The CYB will flex schedule to respond to… more
- Brookdale Senior Living (Dover, DE)
- …through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and ... that meet specific needs of each and all residents within the dementia care community. Provides person centered programs while engaging residents in meaningful and… more
- Highmark Health (Dover, DE)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more