- 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
- 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)
- …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
- 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
- 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)
- …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
- 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, 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
- 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
- Veterans Affairs, Veterans Health Administration (Dover, DE)
- …Team (PACT) Licensed Practical Nurse (LPN) GS-6 functions as a member of the health care team by demonstrating an exceptional degree of practical nursing ... clinic/PC for a Veteran population with a variety of health care needs Responsibilities LPN provides nursing...and/or changes in patients' condition and notifies the RN Care Manager (RNCM); promptly seeks the assistance… 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
- Highmark Health (Dover, DE)
- …3 years of Working knowledge of medical procedures and terminology + 3 years of Health Care claims, Health Insurance and Benefit Administration **SKILLS** ... level of production each month, as determined by the manager to ensure compliance with DLP changes. This role...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- 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 (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 level role… more