- Highmark Health (Annapolis, MD)
- …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
- 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
- The Cigna Group (Baltimore, MD)
- … Manager leads the requirement elicitation for strategic investments across Evernorth Behavioral Health . Will also manage the definition of Lean Business ... Cases (LBC) and refining into business capabilities that enable Behavioral Health infrastructure and enhances Evernorth and...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health … more
- CenterWell (Annapolis, MD)
- …across a complex health care organization. + Knowledge of health care regulations and policies related to behavioral health + Computer skills in ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… 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
- 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
- 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
- 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
- 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
- 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
- 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
- Maxim Healthcare Services (Columbia, MD)
- …offer private duty nursing, skilled nursing, physical rehabilitation, companion care , respite care and behavioral care for individuals with chronic and ... Healthcare Services is hiring for an Area Business Development Manager This position will encompass the forging of new...Join Maxim: + Competitive pay & weekly paychecks + Health , dental, vision, and life insurance + 401(k) savings… more
- The Cigna Group (Baltimore, MD)
- …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
- The Clorox Company (Aberdeen, MD)
- …**Your role at Clorox:** The Process Department Manager is responsible for supporting, leading and coordinating ... the process area. In this role, the Process Department Manager will serve operational team members focusing on daily...a skill progression system that builds the right technical, behavioral and leadership skills across the department. + Leading… more
- The Cigna Group (Baltimore, MD)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make… more
- Magellan Health Services (Odenton, MD)
- …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
- Kennedy Krieger Institute (Baltimore, MD)
- **Overview** The **Behavior Analyst I** works in coordination with classroom, Mental Health /Clinical, and Related Services staff to provide Behavioral Services ... to students. Under the supervision of the Manager , Behavioral Services; Director, Psychological and ...addition, instruction in art, music, physical education and fitness, health , life and social skills, career exploration and development… more