- Humana (Annapolis, MD)
- **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
- Elevance Health (Hanover, MD)
- **Carelon Payment Integrity Manager - Behavioral Health ** **Supports Payment Integrity & Behavioral Health ** _Location: This position will work a ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...depression, and insightful analytics to improve the delivery of care . The **Payment Integrity Manager ** is responsible… 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 ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...depression, and insightful analytics to improve the delivery of care . The **Clinical Provider Auditor I** is responsible for… more
- One Common Unity (Washington, DC)
- …Reporting: This position reports to the Director of Community Based Behavioral Health and or the Community-Based Program Manager . Pay & Benefits: OCU has ... Services and Justice Grants (https://ovsjg.dc.gov/), we are looking for dynamic Credentialed Behavioral Health Clinicians who have experience with, and a passion… more
- Highmark Health (Annapolis, MD)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... 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. + Function in… more
- Molina Healthcare (Arlington, VA)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports to ... delivery of care across the continuum, including behavioral health and long term care...Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… more
- AmeriHealth Caritas (Washington, DC)
- …care coordination and case management services in achieving their optimal level of health through self-management.; The Care Manager II (RN/LICSW) is ... coordination and appropriate care management interventions. + Coordinates physical, behavioral health and social services. + Provides medication management,… more
- Highmark Health (Annapolis, MD)
- …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
- Highmark Health (Annapolis, MD)
- …, 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
- CVS Health (Arlington, VA)
- …state licensure required -3+ years clinical experience as a Registered Nurse (ie med surg, behavioral health , acute care ) -Must be willing and able to travel ... 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… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 ... ability to assist in the full range of nursing care to patients/residents with physical and/or behavioral ...(COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel… more
- Highmark Health (Annapolis, MD)
- …in a project manager role **Preferred** + Leadership experience + Health Care Insurance industry business and operational knowledge + Experience managing ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Annapolis, MD)
- …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
- CommuniCare Health Services Corporate (Linthicum Heights, MD)
- …conditions. Our more than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated ... the CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that… more
- Howard University Hospital (Washington, DC)
- …well managed behavioral choices. Purpose of Job The Public Relations Manager is responsible for developing PR plans, media and reputation building strategies; ... Howard University Hospital has a world-renowned reputation for high-quality, patient-centric care . Howard University Hospital is the nation's only teaching hospital… more
- Humana (Annapolis, MD)
- …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
- AmeriHealth Caritas (Washington, DC)
- …, 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 ... products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services....+ Minimum of 2 years of experience in managed health care preferred. + Minimum of 5… more
- Johns Hopkins University (Baltimore, MD)
- …case management and non-medical case management nursing duties as a member of the health care and support service team providing services to people living with ... Under the supervision of the Clinical Nurse Manager , we are seeking a **_Clinical Nurse Case...post-exposure prophylaxis (nPEP) under standing orders in an RN-led care model. The candidate will test, treat, and provide… more
- The Cigna Group (Washington, DC)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... or Washington, DC or the Baltimore, MD area.** This ** Manager , Hospital Contracting** serves as an integral member of...stage of life. We guide our customers through the health care system, empowering them with the… more
- Takeda Pharmaceuticals (Annapolis, MD)
- …to take charge of your future at Takeda. Join us as a Regional Business Manager in our Wisconsin region. Here, everyone matters, and you will be a vital contributor ... to our inspiring, bold mission. As a Regional Business Manager working on the Gastroenterology Rare Disease Sales Team, you will be empowered to drive product demand… more