- 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
- 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 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 (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
- CenterWell (Annapolis, MD)
- …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
- 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
- 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
- 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
- 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
- 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
- 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...State Licensure Upon Hire Required CCM - Certified Case Manager Upon Hire Preferred LNCC - Legal Nurse Consultant… 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
- Highmark Health (Annapolis, MD)
- …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
- 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
- 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
- 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
- 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
- Takeda Pharmaceuticals (Annapolis, MD)
- …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
- 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 for our WA and OR markets. This position...position in the market place + Collaborates with the Clinical and Operational team to have understanding of customers… more