- 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 ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- 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 II** **Supports Payment Integrity & Behavioral Health** _Lo_ _cation: This position will work a hybrid model (remote and office). 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
- 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
- Sharecare (Annapolis, MD)
- …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… 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
- CareFirst (Baltimore, MD)
- …a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care ... government programs division, specifically the Medicare Advantage line of business. The Care Manager helps members, families, and caregivers access the health… 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
- Elevance Health (Hanover, MD)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... depression, and insightful analytics to improve the delivery of care . The ** Clinical Ops Associate Medical Director...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CareFirst (Baltimore, MD)
- …a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care ... + Bachelor's degree in nursing **Knowledge, Skills and Abilities (KSAs):** + Knowledge of clinical standards of care and disease processes. + Ability to produce… 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...Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred + LNCC - Legal Nurse… 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
- 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....you'll provide high-quality ABA therapy, collaborate closely with the clinical team, and play a key role in onboarding… 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
- 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 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