- 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
- Evolent (Annapolis, MD)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… 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
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor II** **Supports Payment Integrity & Behavioral Health ** _Lo_ _cation: This position will work a hybrid model (remote and office). 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 II** is responsible for… more
- CareFirst (Baltimore, MD)
- …supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager ... Care Manager helps members, families, and caregivers access the health care delivery system through outreach, education, follow-up, coordination support,… more
- CareFirst (Baltimore, MD)
- …supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager ... business. **ESSENTIAL FUNCTIONS:** + Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with… 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)
- …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
- 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
- Advancing Beyond the Spectrum (Bel Air, MD)
- **THIS IS A FULL-TIME CENTER MANAGER POSITION FOR AN APPLIED BEHAVIOR ANALYST CENTER IN BEL AIR, MD** Mon-Fri. from 8:15A-4:30P Are you a skilled and passionate ... to take on a role that combines hands-on client care with opportunities to mentor and support a team....our clients and our communities. JOB SUMMARY The Center Manager is responsible for overseeing and managing the day-to-day… more
- J&J Family of Companies (Annapolis, MD)
- 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
- Compass Group, North America (Baltimore, MD)
- Morrison Healthcare Position Title: Bench Patient Services Manager - Baltimore, MD Pay Grade: 14 Salary: [[$75,000]] Morrison Healthcare is a leading national food ... the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership...members. Job Summary We are seeking a Patient Services Manager to lead our Patient Services Team in an… 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
- Sharecare (Annapolis, MD)
- …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