- Highmark Health (Annapolis, MD)
- …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
- 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 ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee… more
- Elevance Health (Hanover, MD)
- **Carelon Payment Integrity Manager - Behavioral Health** **Supports Payment Integrity & Behavioral Health** _Location: This position will work a hybrid ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee… more
- CenterWell (Annapolis, MD)
- …and procedures to support program implementation. + Establish collaborative relationships with clinical teams and care integration leadership to align on program ... develop and implement metrics to measure the effectiveness of care transitions. + Understanding of clinical operations...health care organization. + Knowledge of health care regulations and policies related to behavioral … more
- Kennedy Krieger Institute (Baltimore, MD)
- **Overview** **Developmental and Behavioral Pediatrician** The Kennedy Krieger Institute in Baltimore, MD is searching for a board eligible and/or certified ... Developmental and Behavioral Pediatrician as faculty in the Center for Development...faculty member will participate in an interdisciplinary and multidisciplinary clinical team of professionals that drive the clinical… more
- Johns Hopkins University (Baltimore, MD)
- Under the supervision of the Clinical Nurse Manager , we are seeking a **_Clinical Nurse Case Manager_** who will perform duties related to medical case ... management nursing duties as a member of the health care and support service team providing services to people... Clinical Nurse Job Posting Title (Working Title): Clinical Nurse Case Manager Role/Level/Range: ACRP/03/ME Starting… more
- Johns Hopkins University (Lutherville, MD)
- …obtained by MOC or Prior Authorization Team. + Assists with in person clinical care (eg, medication administration, rooming of patients, chaperoning) when ... position works closely with the Medical Director and Clinic Manager to maintain high-quality care with an...for a group of primary complex patients to achieve clinical and organizational outcomes. + Provides evidence-based care… more
- Kennedy Krieger Institute (Baltimore, MD)
- **Overview** The ** Clinical Specialist I** will provide on-site clinical services for Behavioral Psychology Department patients based on principles of ... and staff training and monitor the effectiveness and implementation of behavioral protocols in community settings. **Responsibilities** 1. Assist in the development… more
- CareFirst (Baltimore, MD)
- …and prioritizes appeal requests using nursing expert knowledge and all available clinical information for both medical and behavioral health conditions, as ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Nurse completes research, basic analysis, and...State Licensure Upon Hire Required CCM - Certified Case Manager Upon Hire Preferred LNCC - Legal Nurse Consultant… more
- Kennedy Krieger Institute (Baltimore, MD)
- **Overview** The ** Clinical Specialist I** will provide on-siteclinical services for the Behavioral Psychology departmentbased on principles of applied behavior ... and staff training, and monitor the effectiveness and implementation of behavioral protocols in community settings. **Responsibilities** 1. Assist in the development… more
- Highmark Health (Annapolis, MD)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specific state licensure(s) may be required depending on where clinical care is being provided. **Preferred** +...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Annapolis, MD)
- …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
- 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
- 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...position in the market place + Collaborates with the Clinical and Operational team to have understanding of customers… more
- The Cigna Group (Baltimore, MD)
- …or McLean, Virginia or Washington, DC or the Baltimore, MD area.** This ** Manager , Hospital Contracting** serves as an integral member of the Provider Contracting ... Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and management of the day to day contracting and… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …The role requires the ability to assist in the full range of nursing care to patients/residents with physical and/or behavioral problems in a hospital, long ... applicants will be reviewed and referred to the hiring manager 15 business days after opening and every 30...Ability to assist in the full range of nursing care to patients/residents with physical and/or behavioral … 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 ...401K with match, tuition reimbursement, free parking and child care subsidies! In addition, we offer rich professional development… more
- Kennedy Krieger Institute (Baltimore, MD)
- **Overview** The **Behavior Specialist** 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 or Director, Psychological...401K with match, tuition reimbursement, free parking and child care subsidies! In addition, we offer rich professional development… more
- Elevance Health (Hanover, MD)
- … clinical consultation and serve as clinical /strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a ... changes in healthcare. + Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality cost and outcomes. +… more
- Ascension Health (Baltimore, MD)
- **Details** + **Department:** Care Management + **Schedule:** Monday-Friday, 8:00am-4:30pm. no weekends, no holidays, no on-call, one remote working day after 6 ... with associates in similar roles._ We are seeking a compassionate and experienced Clinical Social Worker to join our interdisciplinary team. The ideal candidate will… more