- 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
- One Common Unity (Washington, DC)
- …Reporting: This position reports to the Director of Community Based Behavioral Health and or the Community-Based Program Manager . Pay & Benefits: OCU has ... Services and Justice Grants (https://ovsjg.dc.gov/), we are looking for dynamic Credentialed Behavioral Health Clinicians who have experience with, and a passion… 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
- AmeriHealth Caritas (Washington, DC)
- …care coordination and case management services in achieving their optimal level of health through self-management.; The Care Manager II (RN/LICSW) is ... coordination and appropriate care management interventions. + Coordinates physical, behavioral health and social services. + Provides medication management,… 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
- Elevance Health (Washington, DC)
- …and implements plans in support of case decisions. + Facilitates and coordinates behavioral health resources as individual member needs are identified. **Minimum ... Social Work Case Manager (licensed clinician) JR130923 **Location** : Must reside...3 years of experience in case management in a health care environment; or any combination of… 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
- Court Services and Offender Supervision Agency for DC… (Washington, DC)
- …Stakeholder Collaboration: Works with internal and external stakeholders to expand behavioral health services and support offenders' needs. Social Services ... Summary This position is located in the Office of Behavioral Interventions (OBI) within CSOSA. OBI oversees a complex array of evidence-based assessments,… more
- Coast Guard Community Services Command (Washington, DC)
- …Date: Until Filled Work Schedule: Full Time (30-40 hours/week) Position: Child Care Assistant (3) Salary: $21.00/hour Who May Apply: All Sources Location: ... Helps arrange for/serve appropriate snacks/meals where applicable. Performs routine care giving tasks, helping with materials and activities, receiving children,… more
- Howard University Hospital (Washington, DC)
- …well managed behavioral choices. Purpose of Job The Public Relations Manager is responsible for developing PR plans, media and reputation building strategies; ... Howard University Hospital has a world-renowned reputation for high-quality, patient-centric care . Howard University Hospital is the nation's only teaching hospital… 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
- AmeriHealth Caritas (Washington, DC)
- Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care ... , stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives… 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