• Care Manager Behavioral

    Highmark Health (Washington, DC)
    …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
    Highmark Health (12/12/24)
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  • Clinical Care Manager

    Evolent (Washington, DC)
    …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
    Evolent (11/05/24)
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  • Telephonic Behavior Health Care

    Humana (Washington, DC)
    **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
    Humana (12/19/24)
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  • Behavioral Health Case…

    Elevance Health (Greenbelt, MD)
    Behavioral Health Case Manager ll - Clinical License (JR132209) **Location:** This position requires work in our Washington, DC, 609 H Street NE office up to ... of our DC office. **Washington, DC residents preferred.** The ** Behavioral Health Case Manager ll**...Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified… more
    Elevance Health (11/09/24)
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  • Carelon Payment Integrity Manager

    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
    Elevance Health (12/03/24)
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  • Case Manager - Behavioral

    Molina Healthcare (Alexandria, VA)
    …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports to ... delivery of care across the continuum, including behavioral health and long term care...Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… more
    Molina Healthcare (12/26/24)
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  • Clinical Provider Auditor II - Maryland…

    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
    Elevance Health (12/03/24)
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  • Community-Based Behavioral Health

    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
    One Common Unity (11/28/24)
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  • Care Manager II, RN/LICSW (DC Metro…

    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
    AmeriHealth Caritas (12/24/24)
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  • Product Manager - Care Management

    Highmark Health (Washington, DC)
    …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 (11/02/24)
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  • Psychiatric Nurse Manager - Adolescent…

    HCA Healthcare (Falls Church, VA)
    …skills to educate and guide the behavioral health staff in quality behavioral health care . What qualifications you will need: + Basic Cardiac Life ... care ?** Submit your application for Adolescent Psychiatric Nurse Manager position and spend more time at the bedside...quality nursing care is consistent with the behavioral health program mission and vision. *… more
    HCA Healthcare (10/10/24)
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  • Social Work Case Manager -Licensed…

    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
    Elevance Health (12/17/24)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Washington, DC)
    …, 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 (11/20/24)
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  • RN Case Manager LTSS

    Molina Healthcare (Arlington, VA)
    …and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, ... must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting...delivery of care across the continuum, including behavioral health and long-term care ,… more
    Molina Healthcare (12/20/24)
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  • Case Manager RN- Field

    CVS Health (Arlington, VA)
    …state licensure required -3+ years clinical experience as a Registered Nurse (ie med surg, behavioral health , acute care ) -Must be willing and able to travel ... of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with… more
    CVS Health (12/13/24)
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  • Senior Category Manager

    Highmark Health (Washington, DC)
    …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
    Highmark Health (12/12/24)
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  • Managed Care Coordinator - LSW, LMSW, LCSW,…

    Elevance Health (Alexandria, VA)
    …the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and community ... for members with chronic illnesses, co-morbidities, and/or disabilities, member and the health care team, to ensure cost effective and efficient utilization of… more
    Elevance Health (11/24/24)
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  • Child Care Assistant FT (3)

    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
    Coast Guard Community Services Command (12/26/24)
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  • Marketing & Development Manager

    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
    Howard University Hospital (11/09/24)
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  • Managed Care Claims Validator / Biller

    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
    CommuniCare Health Services Corporate (12/21/24)
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