- 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
- 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
- The Cigna Group (Baltimore, MD)
- … Manager leads the requirement elicitation for strategic investments across Evernorth Behavioral Health . Will also manage the definition of Lean Business ... Cases (LBC) and refining into business capabilities that enable Behavioral Health infrastructure and enhances Evernorth and...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health … 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 ... coordination and appropriate care management interventions. + Coordinates physical, behavioral health and social services. + Provides medication management,… more
- CareFirst (Baltimore, MD)
- …supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager ... business. **ESSENTIAL FUNCTIONS:** + Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with… more
- 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
- 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
- CAI (Washington, DC)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs. + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… 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
- 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
- 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
- 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
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 ... ability to assist in the full range of nursing care to patients/residents with physical and/or behavioral ...(COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel… more
- 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
- 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
- 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
- AmeriHealth Caritas (Washington, DC)
- 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 care ... , 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
- Somatus (Mclean, VA)
- …the appropriate resources within the parameters of established contracts and patients' health plan benefits. Facilitates continuum of patients' care utilizing ... patients and families. + Assist member to maximize benefits according to health plan. + Participates actively in assigned Care Management Coordination… more
- Somatus (Mclean, VA)
- …the appropriate resources within the parameters of established contracts and patients' health plan benefits. Facilitates continuum of patients' care utilizing ... Management Coordination Committee (CMCC) meetings. + Documents pertinent patient information and Care Management Plan in Electronic Health Record and Care … more