- Highmark Health (Providence, RI)
- …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
- Evolent (Providence, RI)
- …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
- Humana (Providence, RI)
- **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
- Hartford HealthCare (Dayville, CT)
- …in the absence of Program Manager . Key responsibilities of Lead Behavioral Health Clinician: * Conducts a comprehensive bio-psychosocial assessment and ... We offers a variety of programs including inpatient and outpatient behavioral health , residential treatment for court-involved teenage girls, geriatric… more
- Riverside Community Care (Upton, MA)
- …Nurse Manager - CCS Seeking a Nurse Manager for the Riverside Community Care Behavioral Health Services Division In this important role, the Nurse ... to the people served by the Behavioral Health Services Division (BHS). The Nurse Manager ...half time providing direct care , the nurse manager oversees/manages the provision of health services… more
- Riverside Community Care (Milford, MA)
- …is seeking a passionate youth clinical team manager to join our Community Behavioral Health Center (CBHC) team in Milford! This is a unique opportunity to ... join a growing team of dedicated behavioral health professionals! The Child/Youth Clinical Team Manager (CTM) oversees all care provided on the… more
- Highmark Health (Providence, RI)
- …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
- US Tech Solutions (Canton, MA)
- …+ **Obstetrics/OB** + **Gynecology/Women's Health ** + **Maternity/Delivery** **Job Summary** The Care Manager - Nursing (RN CM) will ensure that all members ... interventions, and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking… more
- Highmark Health (Providence, RI)
- …, 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
- CVS Health (Woonsocket, RI)
- …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 ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....team is seeking a highly skilled and experienced Senior Manager of Member Growth Analytics with strong SQL skills… more
- CVS Health (Providence, RI)
- …will include all aspects of MinuteClinic services, including Primary Care , Retail Care , and/or Behavioral Health . Additionally, the team is responsible ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....under the Retail Health division of CVS Health , the Manager , Payer Relations manages and… more
- CVS Health (Providence, RI)
- …will include all aspects of MinuteClinic services, including Primary Care , Retail Care , and/or Behavioral Health . **What you will do** + Acts ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....under the Retail Health division of CVS Health , the Senior Manager , Payer Relations manages… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- …influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 ... at the Providence VA Medical Center in the Mental Health & Behavioral Sciences Service. The Incumbent...(COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel… more
- Highmark Health (Providence, RI)
- …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 (Brockton, MA)
- …influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 ... (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel...and consultation in areas related to professional psychology and behavioral health . 3. Knowledge of clinical research… more
- Charter Care Health Partners (North Providence, RI)
- Summary: Under the Direction of the System Manager of Inpatient Behavioral Health Social Work, the Inpatient Social Worker will provide direct services to ... adult psychiatric patients on the acute behavioral health units at CCHP, including leading groups, individual therapy, family and systems meetings, completing… more
- State of Massachusetts (Brockton, MA)
- …when appropriate. Engages in direct communication with Mobile Crisis Intervention (MCI), Behavioral Health Helpline &/or 911; completes necessary alerts with ... **Job:** **Community and Social Services* **Organization:** **Department of Mental Health * **Title:** *Adult Case Manager * **Location:** *Massachusetts-Brockton-165… more
- Child & Family Services of RI (Providence, RI)
- …Services (EOHHS), Department of Human Services (DHS), and/or The Department of Behavioral Health , Developmental Disabilities & Hospitals (BHDDH) to provide case ... person-centered plan development, oversite, referrals, and monitoring. The case manager assists with care coordination to ensure...and monitoring. The case manager assists with care coordination to ensure participant's needs and wants are… more
- Prime Healthcare (Woonsocket, RI)
- …the utilization review process as it relates to triage and admission to the Behavioral Health Unit. The ICM is a patient advocate, promoting cost-containment and ... demonstrates leadership to integrate health care providers in achieving seamless delivery of care across the continuum. The methodology is designed to… more
- Prime Healthcare (Woonsocket, RI)
- …facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment ... and demonstrates leadership to integrate the health care providers to achieve a perceived...Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more