- 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 environment, ... for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Master level, Social Worker** who… more
- 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
- CareFirst (Baltimore, MD)
- …patient care experience. See additional information below if Care Manager position is behavioral health focused. **Preferred Qualifications:** + ... **Resp & Qualifications** **PURPOSE:** Under minimal supervision, the Obstetric Nurse Care Manager researches and analyzes an Obstetric member's medical and … more
- CareFirst (Baltimore, MD)
- …patient care experience. See additional information below if Care Manager position is behavioral health focused. **Preferred Qualifications:** + ... the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works… more
- Elevance Health (Washington, DC)
- … experience are encouraged to apply. Hours: Monday - Friday 10am-6:30pm EST The ** Behavioral Health Case Manager I** is responsible for performing case ... telephonically within the scope of licensure for members with behavioral health and substance abuse or substance...+ Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified… more
- Elevance Health (Arlington, VA)
- **A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... depression, and insightful analytics to improve the delivery of care .** **BH Case Manager II** Responsible for...visits within the scope of licensure for members with behavioral health and substance abuse or substance… more
- The Cigna Group (Baltimore, MD)
- …Bachelor's degree required; master's degree strongly preferred. + 5+ years of health care contracting experience required, including hospital payor contracting. ... several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match,… 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, ... The Military OneSource (MOS) Network Management Senior Manager will have oversight of the Military OneSource...facilitate process improvements to positively impact participant quality of care , access as well as provider experience. This Senior… more
- Highmark Health (Washington, DC)
- …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… more
- 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
- 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 ... ** Care Manager II - RN/LICSW (Metro...** Care Manager II - RN/LICSW (Metro DC area only)**...appropriate care management interventions. + Coordinates physical, behavioral health and social services. + Provides… more
- Elevance Health (Washington, DC)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically ... - 5:00 PM. Monday through Friday. The **Nurse Case Manager I** is responsible for performing care ...Capabilities, and Experiences:** + Maternal child case management and/or behavioral health case management experience is strongly… more
- 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
- Kennedy Krieger Institute (Baltimore, MD)
- **Overview** The Program Manager of theCenter for Diversity in Public Health Leadership Training (CDPHLT)/ Office for Health EquityInclusion and Diversity ... and finance, ensuring grant costs are appropriately charged. The Program Manager is a strategicproblem-solver who identifies and provides appropriate solution… more
- Elevance Health (Hanover, MD)
- …providers may include, but are not limited to large institutional providers,** ** Behavioral health groups and Psychiatric Facilities, large medical groups and ... **Location:** Elevance Health supports a hybrid workplace model (virtual and...strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that… more
- Highmark Health (Washington, DC)
- …in marketing research with insurance is a plus. **Preferred** + Prior experience in Health Insurance or a Health Care Environment + Proven expertise in ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If you...is defined as having worked as either a project manager or lead research analyst for a minimum of… more
- 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
- 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
- Library of Congress (Washington, DC)
- …be dated within three years of the date of the application. Certification from health care providers are not accepted. For more information contact the Library's ... Summary The Congressional Research Service (CRS) seeks a Research Manager for the Defense Policy and Arms Control Section in the Foreign Affairs, Defense, and Trade… more
- AmeriHealth Caritas (Washington, DC)
- …DC RN. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get ... , stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives… more