- Highmark Health (Trenton, NJ)
- …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 (Trenton, NJ)
- …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
- CVS Health (Princeton, NJ)
- …appropriate administration of benefits. + Counsels with medial and behavioral health professionals to influence appropriate member care . + Coaches members to ... and affordable. **This is a telework position and the care manager must work normal business hours...benefits. + Counsels with medial and behavioral health professionals to influence appropriate member care .… more
- CVS Health (Trenton, NJ)
- …and critical thinking skills in order to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager will be ... electronic health record. This position requires the care manager to use critical thinking and...Social Worker, or Licensed Social Worker in NJ2+ years Behavioral Health experience + Must reside in… more
- The Cigna Group (Philadelphia, PA)
- …years of progressive experience in quality management, audit, or coaching, focusing on behavioral health or healthcare/managed care environments. + Proven ... a comprehensive operational quality and coaching program for non-clinical and clinical behavioral health staff. This program is crucial for maintaining and… more
- Penn Medicine (Philadelphia, PA)
- …college credits in the social sciencesEquivalent Experience:*And 2+ years Behavioral health experience We believe that the best care for our patients ... Participates in unit programming and activities for patients and families Reinforces health care instruction to patients according to the directions of the… more
- Spectrum Health Services (Philadelphia, PA)
- …for coordinating all psychosocial community services under the general direction of the Behavioral Health Manager . In accordance with policies, procedures ... of patients in need of referrals to specialty mental health care . + Develop educational, training materials...+ Medical literacy and knowledge of psychopharmacology desired Keyword: Behavioral Health Consultant From: Spectrum Health… more
- Spectrum Health Services (Philadelphia, PA)
- …specialty care practices, health plan staff, and others, the Nurse Care Manager identifies and proactively manages the needs of patients with high risk ... or complex medical, behavioral health and/or psychosocial problems through practice...providers to reduce barriers to improved health care outcomes. The care manager … more
- Centene Corporation (Trenton, NJ)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- Virtua Health (Marlton, NJ)
- …travel between sites within Atlantic, Burlington, Camden, and Gloucester Counties. * Behavioral Health , Geriatric, and LGBTQIA+ experience preferred Summary: ... equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by… more
- Legacy Treatment Services (Hainesport, NJ)
- Care Manager Job Details Level Entry Job...in New Jersey. Legacy's mission is to change the behavioral health and social service outcomes for people ... Time Salary Range $40,000.00 - $50,000.00 Salary/year Travel Percentage Negligible Job Category Health Care Provides care coordination in the Contingency… more
- AmeriHealth Caritas (Philadelphia, PA)
- …in achieving their optimal level of health through self-management. The Community Care Manager is responsible for engaging the member, member care ... now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we... products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.… more
- Highmark Health (Trenton, NJ)
- …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
- Penn Medicine (Philadelphia, PA)
- …with all members of the health care team to resolve patient health , social or behavioral health needs. + Provides monitoring and continuity of ... N 39th St Hours:Per Departmental Needs - Full Time Summary: + The Clinical Care Manager is responsible for promoting organizational values of patient and visitor… more
- The Cigna Group (Philadelphia, PA)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... Manager , as a member of the Evernorth Accountable Care Operations team, will be responsible for overseeing the...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
- Virtua Health (Marlton, NJ)
- …Case Management or other interdisciplinary experience including Homecare Coordination in an Acute Care setting or behavioral health in an inpatient ... the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health ...outpatient or integrated behavioral health setting; understanding of Medicare, Medicaid, managed … more
- Highmark Health (Trenton, NJ)
- …, 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
- The Salvation Army (Philadelphia, PA)
- …funded through a partnership with the City of Philadelphia Community Behavioral Health Department. The New Day Lead Case Manager will provide comprehensive, ... contributions begin after 1 year of employment) + Comprehensive health care coverage with low cost employee...to survivors of commercial sexual exploitation and those with behavioral health disorders at the New Day… more
- Highmark Health (Trenton, NJ)
- …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
- University of Pennsylvania (Philadelphia, PA)
- …Life, and Flexible Spending Accounts : Penn offers comprehensive medical, prescription, behavioral health , dental, vision, and life insurance benefits to protect ... and welfare. You can also use flexible spending accounts to pay for eligible health care and dependent care expenses with pre-tax dollars. + Tuition… more