- 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,** **Master level, Social Worker** who… more
- 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
- Centene Corporation (Dover, DE)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... position located in New Castle County, DE.** **Focus on behavioral health and substance use disorder members.**...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- Highmark Health (Dover, DE)
- …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… more
- Centene Corporation (Dover, DE)
- …regulatory guidelines and standards + Ability to identify needs and make referrals to Care Manager , community based organizations, and Disease Manager + ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....in Delaware or a surrounding state.** **Position Purpose:** Supports care management activities and the teams assigned to members… 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
- 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, ... **Relevant experience working with members with chronic/complex medical conditions; behavioral health and substance use disorder including severe,… more
- Centene Corporation (Dover, DE)
- …Hours are M-F 8-5 pm, no weekends or holidays Candidate must have Behavioral health experience. **Position Purpose:** Develops, assesses, and facilitates complex ... the needs of the member, barriers to accessing the appropriate care , social determinants of health needs, focusing on what the member identifies as priority and… 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)
- …in marketing research with insurance is a plus. **Preferred** + Prior experience in Health Insurance or a Health Care Environment + Proven expertise in ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If you...is defined as having worked as either a project manager or lead research analyst for a minimum 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
- 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
- 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
- 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
- Intermountain Health (Dover, DE)
- **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members of the health care team to improve the ... The position educates patients and caregivers to help them manage their health care needs. The incumbent facilitates communication, coordinates services,… more
- 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 ... will play a critical role in ensuring optimal patient care , high quality health outcomes, and improved...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- 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
- Sharecare, Inc. (Dover, DE)
- …Specialty Care Providers, ancillary services, and all other members of the health care team to support the members. The certified professional will use ... team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans.… more
- 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