- 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
- 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
- CenterWell (Washington, DC)
- …across a complex health care organization. + Knowledge of health care regulations and policies related to behavioral health + Computer skills in ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… 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 ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...depression, and insightful analytics to improve the delivery of care . The **Clinical Provider Auditor I** is responsible for… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Behavioral Health Supervisor- Behavioral Health Outpatient Services Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4773561) ... Apply Behavioral Health Supervisor- Behavioral Health Outpatient...participates in site management, and provides coverage for BHOP manager as needed. Provides supervision of and direct services… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Behavioral Health Specialist II - Youth & Family...(QMHP-C) - within 1 month of hire + Qualified Mental Health Case Manager (QMHCM)- within 1 month of ... Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4773623) Apply Behavioral Health Specialist II - Youth & Family Salary $70,711.26 -… more
- PruittHealth (Charlotte Hall, MD)
- **Job Summary:** We are seeking a compassionate and experienced Social Services Case Manager (MCSW/LCSW) to join our team at the Charlotte Hall Veterans Home. The ... services to our veteran residents, including assessment, planning, and coordination of care to ensure their physical, emotional, and social well-being. This is a… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Behavioral Health Specialist II- Intensive Community Treatment Services Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4773964) Apply ... Behavioral Health Specialist II- Intensive Community Treatment...(QMHP-A), within 1 month of appointment + Qualified Mental Health Case Manager (QMHCM), within 1 month… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Behavioral Health Specialist II- Intensive Community Treatment Svcs- PATH Homeless Outreach Worker Print ... (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4774022) Apply Behavioral Health Specialist II- Intensive Community Treatment Svcs- PATH… 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
- Highmark Health (Washington, DC)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... 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. + Function in… more
- Molina Healthcare (Alexandria, VA)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports to ... delivery of care across the continuum, including behavioral health and long term care...Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… 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 ... **ESSENTIAL FUNCTIONS:** + Identifies members with acute/complex medical and/or behavioral health conditions. Engages telephonically with member, family,… 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
- HCA Healthcare (Falls Church, VA)
- …skills to educate and guide the behavioral health staff in quality behavioral health care . What qualifications you will need: + Basic Cardiac Life ... care ?** Submit your application for Adolescent Psychiatric Nurse Manager position and spend more time at the bedside...quality nursing care is consistent with the behavioral health program mission and vision. *… 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
- 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 (Alexandria, 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 (Alexandria, 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