• Social Services Care Manager

    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 environment, ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker** who… more
    Humana (03/20/25)
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  • Case Manager Long-term Care

    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
    Highmark Health (03/13/25)
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  • Care Manager

    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
    Centene Corporation (03/20/25)
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  • Social Work Care Manager

    Intermountain Health (Dover, DE)
    …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
    Intermountain Health (03/15/25)
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  • Case Manager , RN

    CAI (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
    CAI (02/01/25)
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  • Complex Case Manager RN (Remote)

    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 (03/13/25)
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  • Medical Case Manager (Sussex County,…

    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 (03/21/25)
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  • Program Manager

    Highmark Health (Dover, DE)
    …nationally recognized commitment to promote living health , inclusive of individuals' social health . The Program Manager will be an integral part of Highmark ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW** Highmark ...develop and implement SDOH programs that remove barriers to care and help people thrive, support evaluation frameworks to… more
    Highmark Health (03/15/25)
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  • Category Manager

    Highmark Health (Dover, DE)
    …management and performance **Preferred** + 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
    Highmark Health (02/18/25)
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  • Clinical Case Manager DE Long Term Services…

    AmeriHealth Caritas (Dover, DE)
    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 ... , stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives… more
    AmeriHealth Caritas (01/08/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Dover, DE)
    …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
    Highmark Health (03/06/25)
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  • Accreditation Manager

    Humana (Dover, DE)
    …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more
    Humana (03/21/25)
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  • Field Support Manager

    Maxim Healthcare Services (Timonium, MD)
    …offer private duty nursing, skilled nursing, physical rehabilitation, companion care , respite care and behavioral care for individuals with chronic and ... Maxim Healthcare is hiring for a Field Support Manager to oversee and maintain operational compliance for...PTO program, company profit sharing, & weekly paychecks + Health , dental, vision, and life insurance + 401(k) savings… more
    Maxim Healthcare Services (03/20/25)
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  • Market VP, Value-Based Care Business…

    CenterWell (Dover, DE)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/14/25)
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  • Senior Strategy Professional, Specialty…

    CenterWell (Dover, DE)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/19/25)
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  • Senior Application Developer (Person360 & MDM)

    Highmark Health (Dover, DE)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more
    Highmark Health (01/30/25)
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  • Medicaid Contract Director

    Highmark Health (Dover, DE)
    …group. **ESSENTIAL RESPONSIBILITIES** + Manage and oversee the state's managed care organization (MCO) contractual performance as specified in the contract and ... and matrix aligned organizations + Previous consulting in a principle/ manager /director role; portfolio management experience + Strong communication and interpersonal… more
    Highmark Health (01/28/25)
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  • National leader, Provider Education

    CenterWell (Dover, DE)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... or operational leadership experience in the areas of Population Health Management, Practice Management, (VBC) Value Based Care...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/06/25)
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  • Senior Clinical Pharmacy Technician

    CenterWell (Dover, DE)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (02/20/25)
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  • Associate Director

    Compass Group, North America (Easton, MD)
    …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... operation of Food & Nutrition Services in an Acute Care Hospital. The Associate Director of Food and Nutritional...This is an exciting opportunity for an energetic entrepreneurial manager who is constantly seeking a better way to… more
    Compass Group, North America (03/21/25)
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