• Care Manager , Telephonic…

    Humana (Annapolis, MD)
    **Become a part of our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for ... as defined by the ACD. Job Description The **Telephonic Care Manager (Autism Care Navigator)**...Social Worker (LMSW-ACP), Clinical Psychologist** with; + Clinical experience in: pediatrics, behavioral health, and/or… more
    Humana (01/16/25)
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  • Care Manager Behavioral

    Highmark Health (Washington, DC)
    …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
    Highmark Health (12/12/24)
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  • Clinical Provider Auditor I - Maryland…

    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 ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee… more
    Elevance Health (01/08/25)
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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 hybrid ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee… more
    Elevance Health (01/15/25)
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  • Behavioral Health Strategy Principal

    CenterWell (Washington, DC)
    …and procedures to support program implementation. + Establish collaborative relationships with clinical teams and care integration leadership to align on program ... develop and implement metrics to measure the effectiveness of care transitions. + Understanding of clinical operations...health care organization. + Knowledge of health care regulations and policies related to behavioral more
    CenterWell (01/14/25)
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  • Community-Based Behavioral Health Therapist

    One Common Unity (Washington, DC)
    …the program. Reporting: This position reports to the Director of Community Based Behavioral Health and or the Community-Based Program Manager . Pay & Benefits: ... and Justice Grants (https://ovsjg.dc.gov/), we are looking for dynamic Credentialed Behavioral Health Clinicians who have experience with, and a passion for,… more
    One Common Unity (11/28/24)
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  • Care Manager II, Complex ICM,…

    AmeriHealth Caritas (Washington, DC)
    …for a $4,000.00 sign on bonus.;** **Responsibilities:** The Care Manager II (Registered Nurse/Licensed Independent Clinical Social Worker) assists members ... management services in achieving their optimal level of health through self-management.; The Care Manager II (RN/LICSW) is responsible for engaging the member,… more
    AmeriHealth Caritas (12/24/24)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Washington, DC)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specific state licensure(s) may be required depending on where clinical care is being provided. **Preferred** +...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (01/07/25)
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  • Case Manager - Behavorial Health

    Molina Healthcare (Arlington, VA)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and must be licensed...management. + Promotes integration of services for members including behavioral health care and long term services… more
    Molina Healthcare (01/01/25)
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  • Psychiatric Nurse Manager - Adolescent…

    HCA Healthcare (Falls Church, VA)
    …* + Experienced and competent in the care of mentally ill patients utilizing behavioral health clinical skills to educate and guide the behavioral health ... care ?** Submit your application for Adolescent Psychiatric Nurse Manager position and spend more time at the bedside...Nursing Director and Program Director to assure quality nursing care is consistent with the behavioral health… more
    HCA Healthcare (01/09/25)
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  • Supervisory Unit Manager

    Court Services and Offender Supervision Agency for DC… (Washington, DC)
    Summary This position is located in the Office of Behavioral Interventions (OBI) within CSOSA. OBI oversees a complex array of evidence-based assessments, ... positive change throughout the offender's supervision lifecycle and continuum of care . Responsibilities Supervisory Role: Manages the assigned Unit in the Re-Entry… more
    Court Services and Offender Supervision Agency for DC - Agency Wide (01/09/25)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Washington, DC)
    …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
    Highmark Health (11/20/24)
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  • Business Development Lead/ Business Product…

    The Cigna Group (Mclean, VA)
    …innovation and a commitment to delivering impactful solutions in the pharmacy and clinical space. This Product Manager will work closely with pharmacy product ... at hom_** The Business Development Lead on the Pharmacy Clinical Strategy Team will play a key role in...work experience + 5+ years of experience in health care product development or strategic business development in a… more
    The Cigna Group (01/09/25)
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  • Case Manager RN- Field

    CVS Health (Arlington, VA)
    …licensure required -3+ years clinical experience as a Registered Nurse (ie med surg, behavioral health, acute care ) -Must be willing and able to travel up to ... 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 heart at… more
    CVS Health (12/13/24)
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  • Manager , Bright Start (Maternity)…

    AmeriHealth Caritas (Washington, DC)
    …$5,500.00 sign on bonus.** **Responsibilities:** Under the supervision of the Market Clinical Director, Population Health, the Manager of Integrated Case ... healthcare 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… more
    AmeriHealth Caritas (12/05/24)
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  • Social Work Case Manager -Licensed…

    Elevance Health (Washington, DC)
    …+ Manages behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions. + Assists members to ... Social Work Case Manager (licensed clinician) JR130923 **Location** : Must reside...in support of case decisions. + Facilitates and coordinates behavioral health resources as individual member needs are identified.… more
    Elevance Health (12/17/24)
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  • Regional Business Manager - Wisconsin

    Takeda Pharmaceuticals (Washington, DC)
    …to take charge of your future at Takeda. Join us as a Regional Business Manager in our Wisconsin region. Here, everyone matters, and you will be a vital contributor ... to our inspiring, bold mission. As a Regional Business Manager working on the Gastroenterology Rare Disease Sales Team, you will be empowered to drive product demand… more
    Takeda Pharmaceuticals (01/16/25)
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  • Case Manager RN

    Somatus (Mclean, VA)
    Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to ... This position is responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing...and approved by medical management in order to optimize clinical outcomes. + Monitors and coaches patients using techniques… more
    Somatus (10/26/24)
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  • Case Manager RN- Bilingual

    Somatus (Mclean, VA)
    Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to ... This position is responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing...and approved by medical management in order to optimize clinical outcomes. + Monitors and coaches patients using techniques… more
    Somatus (10/26/24)
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  • Area Business Development Manager

    Maxim Healthcare Services (Columbia, MD)
    …offer private duty nursing, skilled nursing, physical rehabilitation, companion care , respite care and behavioral care for individuals with chronic and ... Healthcare Services is hiring for an Area Business Development Manager This position will encompass the forging of new...position in the market place + Collaborates with the Clinical and Operational team to have understanding of customers… more
    Maxim Healthcare Services (01/10/25)
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