- 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 ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Highmark Health (Dover, DE)
- …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
- Sharecare (Dover, DE)
- …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
- Highmark Health (Dover, DE)
- …year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social Worker ... contact for members to coordinate all of the member's care needs across the various service delivery systems and...across the continuum of services and assisting members physical, behavioral , long term services and supports (LTSS), social, and… more
- Centene Corporation (Dover, DE)
- …is a field position.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs + May perform...outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care … more
- Legacy Treatment Services (Northfield, NJ)
- Care Manager Job Details Job Location Outpatient Northfield - Northfield, NJ Position Type Full Time Education Level 4 Year Degree Provides care coordination ... in care ; provides linkages/referrals; coordinates, monitors, follows up with care issues.Monitors consumer progress for changes in clinical symptoms and… more
- Elevance Health (Wilmington, DE)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... depression, and insightful analytics to improve the delivery of care . The ** Clinical Ops Associate Medical Director...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Legacy Treatment Services (Northfield, NJ)
- …- Northfield, NJ Position Type Part Time Education Level 4 Year Degree The Care Manager provides clinical case management addressing life domains such ... Care Manager Job Details Job Location...recovery. Works to coordinate with other treatment providers or behavioral health agencies individual is involved with. Provides linkages… more
- Highmark Health (Dover, DE)
- …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 (Millville, NJ)
- …to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, care planning, direct ... program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for...and Unrestricted RN license in NJ + 3+ years clinical practice experience, eg, hospital setting, alternative care… more
- Virtua Health (Marlton, NJ)
- …Case Management or other interdisciplinary experience including Homecare Coordination in an Acute Care setting or behavioral health in an inpatient outpatient or ... behavioral health setting; understanding of Medicare, Medicaid, managed care and discharge planning. (3-5 years preferred) Excellent verbal and written… more
- Virtua Health (Marlton, NJ)
- …of appropriate medical necessity tools to maintain compliance, achieve cost effective care and positive patient outcomes. Utilizes clinical assessment, critical ... skills and conflict resolution. Preferred: UR/CM/QM experience or 3 years' experience as Clinical Social Worker in acute care . Knowledge of quality metrics.… more
- Highmark Health (Dover, DE)
- …facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration ... and/or psychosocial needs have access to high quality, cost-effective health care . Assists in the holistic assessment, planning, arranging, coordinating, monitoring,… more
- CenterWell (Dover, DE)
- …collaboratively with clinical and operational leaders across a complex health care organization. + Knowledge of health care regulations and policies related ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
- Sunrise Senior Living (Wilmington, DE)
- …the evolving information on Alzheimer's disease. Responsible for championing the designated care manager concept throughout the neighborhood, assisting in the ... with the Resident Care Director (RCD) to ensure that the residents clinical needs are addressed. + Reviews, prior to move-in, the resident's preferences and… more
- Brookdale Senior Living (Dover, DE)
- …that meet specific needs of each and all residents within the dementia care community. Provides person centered programs while engaging residents in meaningful and ... purposeful dementia care programs within the Brookdale community enhancing their quality...evaluations. May act in supervisory capacity in absence of Manager or Executive Director. + Collaborates with community leadership… more
- Magellan Health Services (Dover AFB, DE)
- …- Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt License and Certifications - Preferred Salary ... Psychologist. Provides the full breadth of Child and Youth Behavioral (CYB) Military Family Life Counseling (MFLC) services to...by the Office of Secretary of Defense (OSD) program manager . The CYB will flex schedule to respond to… more
- Somatus (Wilmington, DE)
- …to a physician's treatment plan. The CHW-Patient Advocate will work as an extension of the clinical care team, specifically under the guidance of RN Care ... Works under the guidance of physicians and/or a nurse care manager . + Follow-up with health management...and guide the patient to meet both personal and clinical goals. + Schedules provider appointments on behalf of… more
- Evolent (Dover, DE)
- …which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Evolent (Dover, DE)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...The Coordinator, Intake Utilization Management reports directly to the Manager , Intake Utilization Management. In support of our daily… more